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Primary percutaneous closure of a traumatic ventricular septal defect after stab wound to the chest: a case report
Marco Alejandro Solórzano Vázquez1, Oscar Samuel Medina Torres1, Ashby Daniel Tiscareño Villanueva1
1Interventional Cardiology Department, Mexican Social Security Institute Bajío Center UMAE T1, Blvd Adolfo López Mateos SN Colonia, los Paraisos, 37328 León Guanajuato, México.
Background:
Traumatic ventricular septal defects (VSDs) are life-threatening complications of blunt or stab chest trauma. The standard of care is surgical closure or secondary percutaneous closure due to high surgical risk because of recent sternotomy.
Case Summary:
We present a 22-year-old male with an ice pick-related VSD. It was successfully closed by primary percutaneous approach. After 6 months, the echo Doppler shows no residual shunt, normal pulmonary artery pressure, and normal biventricular function.
Discussion:
To our knowledge, this is one of the first primary percutaneous closures for knife-related VSD. Early diagnosis and treatment can prevent heart failure and long-term complications. Less necrotic tissue surrounding the VSD compared with post-infarction (PI) VSD allows for early and secure treatment. Percutaneous closure is a feasible and effective choice even in patients who had no prior sternotomy or who reject surgery as a primary treatment strategy.
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