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Transcatheter closure of postinfarction ventricular septal rupture with the Amplatzer occluder
Ana Viana-Tejedor1, Raúl Moreno, Mar Moreno
1La Paz University Hospital, Cardiology, Paseo de la Castellana, 261, Madrid, Spain. ana_viana_tejedor@hotmail.com
Insights
Ventricular septal rupture after heart attack is often fatal, especially in older adults. Percutaneous closure with an Amplatzer device in a 77-year-old patient was unsuccessful, highlighting challenges in treating this serious complication.
Area of Science:
- Cardiology
- Interventional Cardiology
Background:
- Ventricular septal rupture (VSR) is a rare but life-threatening complication of myocardial infarction.
- It predominantly affects elderly patients and carries a high mortality rate.
Observation:
- A case report details a 77-year-old female patient who developed postinfarction VSR.
- The patient underwent percutaneous closure of the VSR using an Amplatzer device.
Findings:
- The Amplatzer device was successfully deployed during the percutaneous closure procedure.
- Despite successful deployment, the patient experienced persistent hemodynamic impairment.
Implications:
- This case highlights the limited success and potential challenges associated with percutaneous closure of VSR, even with device deployment.
- Further research is needed to improve outcomes for this critical complication of myocardial infarction.
Abstract:
Ventricular septal rupture is an infrequent, but usually lethal, complication after myocardial infarction that typically occurs in elderly patients. Percutaneous closure of this complication has been performed in some cases with variable results. We report on the case of a 77-year-old female with a postinfarction ventricular septal rupture who underwent percutaneous closure using an Amplatzer device. Although the device was successfully deployed, the patient continued to have hemodynamic impairment and died within 48 hours.
