Delayed amplatzer occluder device closure of postinfarction ventricular septal defect: a case report.
Francis TingAditya BhatNeville SammelDavid MullerPublished in: Case reports in cardiology (2014)
Postinfarction ventricular septal defect (VSD) is a rare complication after acute myocardial infarction, with an incidence rate of 1-2% of all myocardial infarcts (Hutchins, 1979). It is a medical emergency with sobering survival numbers, having a mortality rate of 70-80% within two weeks of the incident event (Bouchart et al., 1998). Cardiac surgery is considered the gold standard in the management of these defects; however, its main limitation is that it carries a high risk of perioperative mortality and postoperative sequelae. Percutaneous transcatheter closure of VSD is a relatively new method of repair. Due to scarcity of reports in the literature, there is limited data regarding survival data; however, noninferiority to surgery has been demonstrated in one case series (Papalexopoulou et al., 2013). Long-term follow-up studies are lacking, and thus long-term mortality has yet to be discerned. We present a case of an 87-year-old female who, following postmyocardial infarction VSD, developed clinically significant heart failure. The patient was reluctant to undergo open repair given her age and comorbidities and she underwent successful percutaneous repair of her VSD using a 16 mm Amplatzer occluder device 18 months after her initial presentation.
Keyphrases
- minimally invasive
- heart failure
- left ventricular
- cardiac surgery
- acute myocardial infarction
- cardiovascular events
- risk factors
- healthcare
- patients undergoing
- electronic health record
- systematic review
- case report
- public health
- cardiovascular disease
- big data
- ultrasound guided
- acute kidney injury
- coronary artery bypass
- catheter ablation
- type diabetes
- machine learning
- cardiac resynchronization therapy
- percutaneous coronary intervention
- coronary artery disease
- deep learning