Repair of Acute Inferior Wall Myocardial Infarction-Related Basal Ventricular Septal Defect: Transatrial versus Transventricular Approach

2013 ◽  
Vol 28 (5) ◽  
pp. 475-480 ◽  
Author(s):  
Vikas Sharma ◽  
Kevin L. Greason ◽  
Vuyisile T. Nkomo ◽  
Hartzell V. Schaff ◽  
Harold M. Burkhart ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Inferior Wall

scholarly journals Concomitant transcatheter closure of post-myocardial infarction ventricular septal defect and inferior wall aneurysm: case report

2020 ◽  
Author(s):  
Reda Abuelatta ◽  
Tarek Alrashidy ◽  
Fatma Taha ◽  
Hesham Abdo Naeim
Keyword(s):  
Myocardial Infarction ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Surgical Repair ◽  
Transcatheter Closure ◽  
Percutaneous Closure ◽  
Post Myocardial Infarction ◽  
Definitive Treatment ◽  
Inferior Wall ◽  
Amplatzer Septal Occluder

Abstract Background The incidence of the post-infarct ventricular septal defect (VSD) is 0.17%. Surgical repair is the definitive treatment and percutaneous closure is an alternative in high-risk patients. We report a case of post-myocardial infarction inferior wall aneurysm associated with a large ventricular septal rupture, with a communication between the aneurysm and right ventricle. Successful percutaneous closure of both the aneurysm and the post-infarct (VSD) was performed using two Amplatzer septal occluder devices. Case summary A 76-year-old man was referred to the clinic 2 weeks after an inferior wall myocardial infarction. A harsh, pansystolic murmur was appreciated on his left parasternal area and across the pericardium. An echocardiogram demonstrated a large, true aneurysm in the mid-cavity inferior wall. The inferior septum was ruptured and dissected, with a large, left-to-right shunt. The patient’s coronary angiography revealed a multi-vessel disease. The patient was considered as high surgical risk and thus transcatheter closure of both the post-infarct VSD and inferior wall aneurysm was recommended. We crossed the VSD from the venous side. An Amplatzer septal occluder (18 mm) was deployed to close the VSD completely. We crossed the aneurysm mouth from the arterial side. Another Amplatzer septal occluder (26 mm) was deployed with the large disc inside the aneurysm, sealing it with no more flow. After discharge from the intensive care unit, the patient underwent complete revascularization for his right coronary artery, left main artery, proximal left anterior descending artery, and ramus intermedius. At his 3-month follow-up, the patient remained well with reasonable exercise tolerance. Discussion Percutaneous closure of a post-infarct VSD and aneurysm is an option for patients whose comorbidities preclude surgical repair and whose septal anatomy is favourable to device placement.

scholarly journals Ventricular Septal Dissection Complicating Inferior Wall Myocardial Infarction

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Lindsey Kalvin ◽  
Rayan Yousefzai ◽  
Bijoy K. Khandheria ◽  
Timothy E. Paterick ◽  
Khawaja Afzal Ammar
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Coronary Artery Occlusion ◽  
Coronary Intervention ◽  
Artery Occlusion ◽  
Preoperative Imaging ◽  
Mechanical Complication ◽  
Inferior Wall

Postmyocardial infarction ventricular septal defect is an increasingly rare mechanical complication of acute myocardial infarction. We present a case of acute myocardial infarction from right coronary artery occlusion that developed hypotension and systolic murmur 12 hours after successful percutaneous coronary intervention. Although preoperative imaging suggested a large ventricular septal defect and a pseudoaneurysm, intraoperative findings concluded a serpiginous dissection of the ventricular septum. The imaging technicalities are discussed.

The hemodynamic simulation of mitral regurgitation in ventricular septal defect after myocardial infarction

1976 ◽  
Vol 2 (1) ◽  
pp. 97-104 ◽  
Author(s):  
Charles F. Bethea ◽  
Robert H. Peter ◽  
Victor S. Behar ◽  
James R. Margolis ◽  
Joseph A. Kisslo ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Mitral Regurgitation ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Hemodynamic Simulation

scholarly journals Interventional post-myocardial infarction ventricular septal defect closure: a systematic review of current evidence

2016 ◽  
Vol 12 (1) ◽  
pp. 94-102 ◽  
Author(s):  
Florian Schlotter ◽  
Suzanne de Waha ◽  
Ingo Eitel ◽  
Steffen Desch ◽  
Georg Fuernau ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Systematic Review ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Post Myocardial Infarction ◽  
Current Evidence ◽  
Defect Closure ◽  
Ventricular Septal Defect Closure
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