An Unusual Complication of the Ventricular Septal Defect Closure by Device: Late Right Aortic Cusp Perforation

Topcuoglu, Mehmet Sah; Atalay, Atakan; Göçen, Uğur; Guzel, Yasin; Basturk, Yuksel; Demir, Fadli

doi:10.1016/j.hlc.2014.11.010

Cited by 7 publications

(11 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Indeed, iatrogenic AR has been reported after transaortic surgeries 9 . Likewise, several reported cases were resulting from an occluder pinching on the valve leaflets or a cusp perforation by the wire, catheter, or sheath 3–5 …”

Section: Discussionmentioning

confidence: 99%

“…9 Likewise, several reported cases were resulting from an occluder pinching on the valve leaflets or a cusp perforation by the wire, catheter, or sheath. [3][4][5] Early recognition and management of this complication are crucial. Although iatrogenic aortic valve injury is commonly recognized during the intervention and so can be immediately treated, this complication may appear several years later with progressive AR.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Word of caution: Severe aortic valve injury linked to retrograde closure of perimembranous ventricular septal defects

Haddad

Sawan

Saliba

2022

Journal of Cardiac Surgery

View full text Add to dashboard Cite

Retrograde device closure of perimembranous ventricular septal defects (pmVSDs) is an interesting procedure with several technical advantages and encouraging follow‐up results. Nevertheless, aortic valve injuries may occur and require sufficient attention. Herein, we report the first two cases of severe aortic regurgitation that we have linked to the retrograde pmVSD closure with the KONAR‐MF™ VSD occluder. We detail the technical aspects, comprehensively discuss procedural errors and conclude with important learning points.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Word of caution: Severe aortic valve injury linked to retrograde closure of perimembranous ventricular septal defects

Haddad

Sawan

Saliba

2022

Journal of Cardiac Surgery

View full text Add to dashboard Cite

show abstract

“…AR is one of the most common complications after transcatheter occlusion and may be caused by aortic valve injury resulting from a guidewire or occluder-related injury [ 15 – 17 ]. At the end of follow-up in this study, 2 patients (1.5%) aggravated to moderate AR, and 3 patients (2.2%) had new-onset mild AR.…”

Section: Discussionmentioning

confidence: 99%

“…The reason may be that the shape of the prolapsed right coronary valve gradually returns to normal [ 7 ]. Although Topcuoglu et al have reported late severe AR and right aortic valve perforation during long-term follow-up, surgical removal of the occluder and repair of VSD are needed [ 16 , 17 ]. It is worth noting that late AR also occurs during surgical repair of VSD.…”

Section: Discussionmentioning

confidence: 99%

Safety and Efficacy of Transcatheter Occlusion of Perimembranous Ventricular Septal Defect with Aortic Valve Prolapse: A Six-Year Follow-Up Study

Zhang

Wang

Liu

et al. 2021

Journal of Interventional Cardiology

View full text Add to dashboard Cite

Background. With the rapid development of transcatheter techniques and instruments, transcatheter occlusion for patients with perimembranous ventricular septal defect (pVSD) and aortic valve prolapse (AVP) was constantly being tried, while the efficacy and safety of pVSD with AVP remain controversial. Objective. The aim of this study was to evaluate long-term efficacy and safety of transcatheter occlusion of pVSD with AVP. Methods. We retrospectively analyzed 164 children with pVSD and AVP who underwent transcatheter occlusion between January 2013 and November 2014. AVP was divided into 3 degrees according to right coronary leaflet morphology at end-diastole during aortic root angiography. Patient demographic and clinical data were collected. Results. There were 97 males and 67 females (median age, 40.0 (30.0–62.7) months; average weight, 16.94 ± 9.02 kg). Mild (n = 63), moderate (n = 89), and severe (n = 12) AVP success rates were 93.7%, 89.9%, and 58.3%, respectively. Immediately after procedure, there was no new-onset aortic regurgitation (AR) above trivial degree, residual shunt above mild degree, or complications requiring medication or operation, except for 1 patient who developed transient complete atrioventricular block. During follow-up, 1 mild AVP patient aggravated from mild to moderate AR and 1 moderate AVP patient aggravated from trivial to moderate AR. The new-onset AR in mild, moderate, and severe AVP was 2%, 1.8%, and 20%, respectively. AR disappeared in 17 patients. Residual shunt occurred in 9 patients after procedure, 4 of which disappeared during the follow-up period. No serious complications occurred in any patient during follow-up. Five-year cardiovascular event-free survival rates for mild, moderate, and severe AVP were 89.6%, 94.5%, and 80.0%, respectively. Conclusion. Transcatheter occlusion of pVSD with mild and moderate AVP has a high success rate and few complications, which is safe and effective in long-term follow-up. Transcatheter occlusion of pVSD with severe AVP has low success rates and high AR incidence. Therefore, transcatheter occlusion of pVSD with AVP is recommended for mild to moderate, but not severe, AVP.

show abstract

“…[1920] Furthermore, complications such as late aortic cusp perforation and worsening aortic regurgitation [Video 1] have been variously reported making regular follow-up mandatory for these patients. [21] In comparison, an isolated, small, restrictive VSD may carry less morbidity and require less stringent follow-up. [10]…”

Section: Is It Justifiable To Close a Small Ventricular Septal Defectmentioning

confidence: 99%

Should we close small ventricular septal defects?

Sangeetha

Kumar

2017

Annals of Pediatric Cardiology

View full text Add to dashboard Cite

An Unusual Complication of the Ventricular Septal Defect Closure by Device: Late Right Aortic Cusp Perforation

Cited by 7 publications

References 8 publications

Word of caution: Severe aortic valve injury linked to retrograde closure of perimembranous ventricular septal defects

Word of caution: Severe aortic valve injury linked to retrograde closure of perimembranous ventricular septal defects

Safety and Efficacy of Transcatheter Occlusion of Perimembranous Ventricular Septal Defect with Aortic Valve Prolapse: A Six-Year Follow-Up Study

Should we close small ventricular septal defects?

Contact Info

Product

Resources

About