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Post-Myocardial Infarction Ventricular Septal Defect Percutaneous Closure
Shikha Jha1, Parnian Soltani2, Abdelkader Almanfi3
1University of Wisconsin Madison, Madison, Wisconsin, USA.
Insights
Transcatheter closure offers a viable alternative for treating post-myocardial infarction ventricular septal defects (PMIVSD) in high-risk patients. A novel venovenous loop approach provides a safe and effective minimally invasive option for PMIVSD closure.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Surgery
Background:
- Ventricular septal rupture (VSR) is a rare but severe complication following myocardial infarction (MI), associated with high mortality rates.
- Current guidelines recommend immediate surgical closure for VSR, despite its risks.
Background:
Ventricular septal rupture is an uncommon but serious complication of late post-myocardial infarctions (MI) with an exceedingly high mortality. The American College of Cardiology and American Heart Association still advise immediate surgical closure of ventricular septal rupture.
Case Summary:
We described a novel minimally invasive transcatheter approach to post-MI ventricular septal defect (PMIVSD) closure through a venovenous loop for an 82-year-old woman.
Discussion:
A PMIVSD is typically treated surgically and offers reasonable outcomes in patients who survive an initial healing phase. Transcatheter approaches serve as a potential treatment option for select high-risk surgical candidates.
Take-Home Messages:
Transcatheter closure is a viable alternative in high-risk PMIVSD patients unsuitable for surgery. A venovenous loop offers a safe and effective route for percutaneous VSD closure.
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