Cor Vasa 2007, 49(7-8):254-258 | DOI: 10.33678/cor.2007.096

Closure of a post-infarction ventricular septal defect using the Amplatz occluder

Libor Gajdušek¹, Jaroslav Januška¹, Marian Branny¹, Jindřich Černý¹, Libor Škňouřil¹, Miroslav Dorda¹, Piotr Branny², Petr Zajíček³

¹ Oddělení kardiologie

² Oddělení kardiochirurgie, Kardiocentrum, Nemocnice Podlesí, a. s., Třinec

³ Interní oddělení, Nemocnice Valašské Meziříčí, Valašské Meziříčí, Česká republika

Post-infarction ventricular septal defect is a relatively uncommon condition, generally considered serious because of its high morbidity and mortality rates. The authors describe percutaneous closure of a post-infarction ventricular septal defect in an elderly female patient who had had surgical revascularization because of a subacute myocardial infarction. A significant muscular ventricular septal defect developing postoperatively resulted in hemodynamic instability of the patient.
Percutaneous closure of the defect was obtained using an Amplatz occluder. In our case report, the possibility of managing this serious infarction-related complication is discussed.

Keywords: Subacute myocardial infarction; Surgical revascularization; Muscular ventricular septal defect; Left-heart failure; Percutaneous closure; Amplatz occluder

Published: July 1, 2007  Show citation