Transcatheter closure of ischemic and post-traumatic ventricular septal ruptures

Post‐traumatic ventricular septal defects (VSD) can occur after acute MI or iatrogenically after invasive surgical procedures. Emergency surgery is associated with high perioperative mortality and postsurgical shunt in up to 20% of patients. Transcatheter closure (TCC) of post MI VSD may be an alter...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2007-02, Vol.69 (3), p.403-407
Main Authors: Martinez, Matthew W., Mookadam, Farouk, Sun, Yinguang, Hagler, Donald J.
Format: Article
Language:English
Subjects:
acute coronary syndrome (ACS)
Adult
Aged
Aged, 80 and over
Cardiac Catheterization - instrumentation
Coronary Disease - complications
Coronary Disease - surgery
Equipment Design
Female
fistula/shunts (FIST)
Follow-Up Studies
Humans
Male
Middle Aged
Myocardial Infarction - complications
Myocardial Infarction - surgery
Retrospective Studies
trauma (TRAU)
Treatment Outcome
Ventricular Septal Rupture - etiology
Ventricular Septal Rupture - surgery
VSD
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Summary:Post‐traumatic ventricular septal defects (VSD) can occur after acute MI or iatrogenically after invasive surgical procedures. Emergency surgery is associated with high perioperative mortality and postsurgical shunt in up to 20% of patients. Transcatheter closure (TCC) of post MI VSD may be an alternative that avoids the high risk of surgery. We report a lower mortality and morbidity than surgical closure in the post infarction VSD's even with a short interval between defect occurrence and percutaneous device placement. Furthermore, in patients with a failed or suboptimal surgical result adjunctive percutaneous closure may be beneficial and offers an alternative to redo VSD repair. Finally, in patients who suffer an unexpected traumatic VSD post surgical procedure, percutaneous closure offers an alternative with excellent results. © 2006 Wiley‐Liss, Inc.
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.20949