Delayed Amplatzer Occluder Device Closure of Postinfarction Ventricular Septal Defect: A Case Report
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 inc...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2014/159010 |
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| author | Francis Ting Aditya Bhat Neville Sammel David Muller |
| author_facet | Francis Ting Aditya Bhat Neville Sammel David Muller |
| author_sort | Francis Ting |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-4c3738542718400d8d957a1b92f8cf9a |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
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| series | Case Reports in Cardiology |
| spelling | doaj-art-4c3738542718400d8d957a1b92f8cf9a2025-02-03T00:59:06ZengWileyCase Reports in Cardiology2090-64042090-64122014-01-01201410.1155/2014/159010159010Delayed Amplatzer Occluder Device Closure of Postinfarction Ventricular Septal Defect: A Case ReportFrancis Ting0Aditya Bhat1Neville Sammel2David Muller3St Vincent’s Hospital Sydney, NSW 2010, AustraliaBlacktown Hospital Sydney, NSW 2148, AustraliaSt Vincent’s Hospital Sydney, NSW 2010, AustraliaSt Vincent’s Hospital Sydney, NSW 2010, AustraliaPostinfarction 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.http://dx.doi.org/10.1155/2014/159010 |
| spellingShingle | Francis Ting Aditya Bhat Neville Sammel David Muller Delayed Amplatzer Occluder Device Closure of Postinfarction Ventricular Septal Defect: A Case Report Case Reports in Cardiology |
| title | Delayed Amplatzer Occluder Device Closure of Postinfarction Ventricular Septal Defect: A Case Report |
| title_full | Delayed Amplatzer Occluder Device Closure of Postinfarction Ventricular Septal Defect: A Case Report |
| title_fullStr | Delayed Amplatzer Occluder Device Closure of Postinfarction Ventricular Septal Defect: A Case Report |
| title_full_unstemmed | Delayed Amplatzer Occluder Device Closure of Postinfarction Ventricular Septal Defect: A Case Report |
| title_short | Delayed Amplatzer Occluder Device Closure of Postinfarction Ventricular Septal Defect: A Case Report |
| title_sort | delayed amplatzer occluder device closure of postinfarction ventricular septal defect a case report |
| url | http://dx.doi.org/10.1155/2014/159010 |
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