Related Experiment Video
Updated: Jul 10, 2025

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Transcatheter closure of a large post-myocardial infarction ventricular septal defect using the GORE cardioform ASD
Adamantios Tsangaris1, Ganesh Raveendran1, Gurumurthy Hiremath1
1Division of Cardiology, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
Insights
A patient experienced a severe heart attack (myocardial infarction) despite initial treatment, leading to cardiogenic shock due to a blocked artery that did not reopen. This case highlights complications following coronary intervention for anterior wall myocardial infarction.
Area of Science:
- Cardiology
- Interventional Cardiology
- Critical Care Medicine
Background:
- Anterior wall myocardial infarction (MI) is a serious cardiac event.
- Primary percutaneous coronary intervention (PCI) aims to restore blood flow but can face complications.
- No-reflow phenomenon is a recognized complication after PCI, leading to impaired myocardial perfusion.
Abstract:
A 49-year-old man presented late with an anterior wall myocardial infarction (MI) status post-primary coronary intervention of the left anterior descending artery that resulted in no reflow of the vessel. The patient was transferred to our institution in cardiogenic shock.

