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The use of two Amplatzer "Cribriform" Septal Occluders to close multiple postinfarction ventricular septal defects
Malgorzata Szkutnik1, Jacek Kusa, Jacek Bialkowski
1Department of Congenital Heart Disease and Pediatric Cardiology, Medical University of Silesia, Silesian Center for Heart Disease, 41-800 Zabrze, Poland.
Insights
Successful closure of multiple postinfarction ventricular septal defects was achieved using the Amplatzer Cribriform Occluder. This transcatheter approach offers a viable therapeutic option for selected critically ill patients.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Surgery
Background:
- Ventricular septal rupture is a rare but serious complication following myocardial infarction.
- Multiple defects can present significant challenges for surgical or transcatheter closure.
Observation:
- A severely ill patient with multiple postinfarction ventricular septal defects was treated.
- Two procedures were performed utilizing the Amplatzer Multi-Fenestrated Septal Occluder- "Cribriform".
Findings:
- Successful transcatheter deployment of the Amplatzer Cribriform Occluder was achieved.
- The device effectively closed multiple ventricular septal defects in this complex case.
Implications:
- Transcatheter closure with the Amplatzer Cribriform Occluder is a potential therapeutic strategy for selected patients with multiple postinfarction VSDs.
- This minimally invasive technique may offer an alternative to conventional surgery for high-risk patients.
Abstract:
Rupture of the interventricular septum is an uncommon and often fatal complication of myocardial infarction. Herein, we report the successful deployment of the Amplatzer Multi-Fenestrated Septal Occluder-"Cribriform" (AGA Medical Corporation; Plymouth, Minn) during 2 procedures to close multiple postinfarction ventricular septal defects in a severely ill patient. We show that, in selected patients who have multi-fenestrated multiple postinfarction ventricular septal defects, transcatheter implantation of the Amplatzer Cribriform Occluder can be a good therapeutic option.
