scholarly journals Current and new perspectives for interventional closure of ventricular septal defect

2021 ◽  
Vol 79 (4) ◽  
pp. 378-379
Author(s):  
Stephan Schubert
Keyword(s):  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Interventional Closure

scholarly journals An endoscopic repair of residual post-myocardial infarction ventricular septal defect

2020 ◽  
Vol 31 (4) ◽  
pp. 580-582
Author(s):  
Grzegorz Laskawski ◽  
Abdelrahman Abdelbar ◽  
Joseph Zacharias
Keyword(s):  
Myocardial Infarction ◽  
Heart Disease ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Surgical Repair ◽  
Disease Incidence ◽  
Post Myocardial Infarction ◽  
Minimal Access ◽  
Endoscopic Repair ◽  
Interventional Closure

Abstract Post-myocardial infarction (MI) ventricular septal defect (VSD) is a serious condition that is, fortunately, less diagnosed nowadays due to the advances in early diagnosis and treatment of ischaemic heart disease (incidence 1–2%). Despite the lower mortality of both surgical and interventional closure of the defect (25%) as compared to medical therapy (40–50%), there are still risks of residual leak in both approaches. Herein, we describe a case of a successful endoscopic-assisted repair of a delayed residual leak post-MI VSD after surgical repair. An attempt for interventional closure of the leaking point had failed; an endoscopic-assisted minimal access closure was successfully performed.

scholarly journals Acute anterior myocardial infarction complicated by a large ventricular septal defect

2021 ◽  
Vol 2 (3) ◽  
Author(s):  
Yi Ming ◽  
◽  
Cao Qian ◽  
Liu Qiang ◽  
◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Rare Complication ◽  
Alternative Therapy ◽  
Acute Stage ◽  
Anterior Myocardial Infarction ◽  
Subacute Stage ◽  
Interventional Closure ◽  
Septal Occluder Device

Post-Infarction Ventricular Septal Defect (PIVSD) are a rare complication of Acute Myocardial Infarction (AMI). According to clinical guidelines, surgical repair of a PIVSD is the recommended acute-stage course of treatment. Nevertheless, thoracotomy is not always clinically suggested for patients with unstable hemodynamics and otherwise at high risk. Currently, percutaneous interventional closure of a PIVSD represents an alternative therapy, and an attractive option for particular patients [1,2]. Here we report a 67-year-old man was transferred to Shenzhen Sun yat-sen Cardiovascular Hospital to evaluate a PIVSD and undergo repair. Echocardiography confirmed a large Ventricular Septal Defect (VSD) and significant left-to-right shunt (Figure 1a). Few reports of the closure of a PIVSD at an acute/subacute stage have been previously published. An interventional closure treatment (Amplatzer Septal Occluder device) was successfully performed after bridging to a subacute stage through use of mechanical circulatory backup (Figure 1b).

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