Successful Percutaneous Closure of Post-myocardial Infarction (MI) Ventricular Septal Defect (VSD) Using the
Monika Karki1, Pramod Bhattarai2, Yash Raval1
1Cardiovascular Disease, Broward Health Medical Center, Fort Lauderdale, USA.
Cureus
|June 20, 2025
Summary
Percutaneous closure of post-myocardial infarction ventricular septal defect (VSD) offers a viable alternative to surgery. This approach demonstrated safety and effectiveness in an elderly, high-risk patient, improving clinical outcomes.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Surgery
Background:
- Ventricular septal defect (VSD) is a rare but serious complication following myocardial infarction (MI).
- Traditional surgical repair of post-MI VSD carries a high mortality risk, especially in elderly or comorbid patients.
- Percutaneous closure is an emerging alternative for high-risk surgical candidates.
Observation:
- An 80-year-old male presented with a post-MI VSD.
- The patient was deemed a high surgical risk due to age and comorbidities.
- A trans-septal approach was utilized for percutaneous intervention.
Findings:
- Successful percutaneous closure of the post-MI VSD was achieved.
- The procedure was technically feasible and safe in this high-risk patient.
- The patient experienced a favorable clinical outcome post-intervention.
Implications:
- Percutaneous VSD closure is a feasible and safe option for select high-risk patients with post-MI VSD.
- This minimally invasive technique may reduce morbidity and mortality compared to surgical repair.
- Further research and larger studies are warranted to establish its role in managing post-MI VSD.
Related Concept Videos
01:26Mitral Stenosis III: Medical Management
538
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...
538
01:29Cardiomyopathy V: Interprofessional Care
761
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...
761