Related Experiment Video
Updated: Aug 15, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Transcatheter closure of a ruptured ventricular septum after myocardial infarction using a venous approach
A Elsässer1, H Möllmann, H Nef
1Kerckhoff-Klinik, Benekestrasse 2-8, 61231, Bad Nauheim, Germany. a.elsaesser@kerckhoff.mpg.de
Abstract:
A 65-year old patient was admitted after having sustained a ventricular septum rupture 18 days after an anterior myocardial infarction. He developed acute heart failure. Given the extremely high perioperative risk in surgical approaches in this setting, we decided for a transcatheter closure of the defect with an exclusively venous approach. After a complete recovery, the patient underwent open heart surgery with aorto coronary bypass, aneurysmectomy, and removal of the closure device. This case demonstrates that transcatheter closure of a post infarction ventricular septum rupture is a technically feasible and suitable method.
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