Related Experiment Video

Updated: May 7, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

Retrograde percutaneous closure of a ventricular septal defect after myectomy for hypertrophic obstructive

Vikas Singh1, Apurva O Badheka, Syed S Bokhari

  • 1Cardiovascular Division, University of Miami Hospital, Miller School of Medicine, Miami, Florida 33136.

Texas Heart Institute Journal
|October 2, 2013
PubMed

Insights

Successful percutaneous closure of a rare ventricular septal defect after hypertrophic cardiomyopathy surgery is reported. This less invasive technique offers a safer alternative to repeat sternotomy for managing this complication.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Hypertrophic obstructive cardiomyopathy (HOCM) requires surgical intervention like septal myectomy.
  • Iatrogenic ventricular septal defects (VSDs) are rare but serious complications post-myectomy.
  • Hemodynamically significant VSDs necessitate timely and effective closure.

Observation:

  • A case of a patient developing a hemodynamically significant VSD after septal myectomy for HOCM.
  • The VSD was iatrogenic, resulting from the surgical procedure.
  • Traditional closure via re-sternotomy carries high risks of morbidity and mortality.

Findings:

  • Successful closure of the iatrogenic VSD was achieved using a retrograde percutaneous approach.
  • An AMPLATZER Muscular VSD Occluder device was utilized for the closure.
  • This represents a potentially unique case of retrograde percutaneous VSD closure in this context.

Implications:

  • Percutaneous VSD closure is a viable and safer alternative to repeat sternotomy for iatrogenic defects post-HOCM surgery.
  • This approach minimizes patient risk and improves outcomes for a rare but significant complication.
  • Highlights the utility of interventional techniques in managing complex cardiac surgical sequelae.

Keywords:
Cardiac catheterization/methodscardiomyopathy, hypertrophic/therapyheart septal defects, ventricular/therapyiatrogenic diseasemyectomypostoperative complicationsprosthesis implantation/methodsseptal occluder deviceventricular septal defect

More Related Videos

Closure of a Patent Foramen Ovale (PFO): An Intervention Sequence10:52

Closure of a Patent Foramen Ovale (PFO): An Intervention Sequence

Published on: December 23, 2022

Related Concept Videos

Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

Cardiomyopathy III: Hypertrophic Cardiomyopathy

Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...