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Updated: Apr 30, 2026
Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Percutaneous Transcatheter Closure of Post-Infarction Ventricular Septal Rupture
Faisal Habib1, Nadya Keumala Fitri2, Arbiantoni Sinaga1
1Department of Cardiovascular, Adam Malik Hospital, Medan, Indonesia; Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Sumatra Utara, Medan, Indonesia.
Insights
Transcatheter device closure is a feasible treatment for postinfarction ventricular septal rupture (PIVSR), a rare complication of heart attack. Patient comorbidities significantly impact survival, necessitating careful selection for this less invasive procedure.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Surgery
Background:
- Postinfarction ventricular septal rupture (PIVSR) is a rare but lethal complication following acute myocardial infarction.
- Transcatheter device closure presents a less invasive alternative to traditional surgical repair for PIVSR.
Background:
Postinfarction ventricular septal rupture (PIVSR) is a rare, lethal complication of acute myocardial infarction. Transcatheter device closure offers a less invasive alternative to surgical repair.
Case Summary:
We present 4 PIVSR patients after ST-segment elevation myocardial infarction who were successfully managed by transcatheter device closure. Various devices and both retrograde/antegrade techniques with arteriovenous loop formation were employed. While implantations were successful with minimal or no residual shunts, 1 patient died because of severe comorbidities.
Discussion:
This series highlights the feasibility of diverse transcatheter techniques for PIVSR. It emphasizes successful immediate outcomes but also underscores the critical impact of comorbidities on overall survival in these challenging cases, warranting careful patient selection.
Take-Home Message:
Transcatheter PIVSR closure is effective; however, meticulous patient selection and comprehensive multidisciplinary care are crucial given the high comorbidity burden and inherent risks.
