Percutaneous closure of post-infarction ventricular septal defect using an Amplatzer septal occluder

Tada, Norio; Takizawa, Kazuyasu; Sakurai, Minoru; Yaginuma, G; Inoue, Naoto; Meguro, Takeshi

doi:10.1007/s12928-012-0150-z

Cited by 5 publications

(5 citation statements)

References 13 publications

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“…Currently, Amplatzer septal occluder (ASO), Amplatzer cribriform occluder, and ADO devices are available, however, the Amplatzer VSD occluder is not yet available in Japan. Tada et al reported a case of successful percutaneous closure of post-infarction VSR using an ASO in Japan [10]. In the present case, due to the structural characteristics of VSR, ADO was considered to be more effective than ASO for the following reasons.…”

Section: Discussionmentioning

confidence: 69%

Successful percutaneous treatment of recurrent post-infarction ventricular septal rupture using an Amplatzer duct occluder

Ishiyama

Kurita

Ishiura

et al. 2020

Journal of Cardiology Cases

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Ventricular septal rupture (VSR) is a rare but critical complication that usually occurs within 1 week after acute myocardial infarction (AMI) [1]. Patients without surgical repair of VSR show a high mortality rate of 76% within 1 month, and emergency surgical repair is necessary. However, the in-hospital mortality rate is still high at 47%, and depends on the patient's preoperative condition [2,3]. Here, we describe the successful transcatheter closure of a recurrent post-infarction VSR using an Amplatzer duct occluder (ADO) in a patient who had undergone emergency surgical repair. Case report A 78-year-old woman was referred to our hospital with cardiogenic shock 2 days after the first episode of chest pain. Upon hospital admission, her blood pressure was 78/52 mmHg and her pulse rate was 104 beats/min. Physical examination revealed internal jugular venous dilatation and a grade 3 pan-systolic murmur at the apex. Her 12-lead electrocardiogram showed ST elevation in leads V2-V5. Echocardiography in the emergency room revealed akinesis in the mid anterior septum and apex, and VSR in the apical interventricular septum with left-to-right shunt

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Section: Discussionmentioning

confidence: 69%

Successful percutaneous treatment of recurrent post-infarction ventricular septal rupture using an Amplatzer duct occluder

Ishiyama

Kurita

Ishiura

et al. 2020

Journal of Cardiology Cases

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“…Mastery of both RV and LV approaches provides better options based on the location of the VSP in each patient. Recently, although the Amplatzer VSP occluder is not commercially available in Japan and guidelines for treating VSP with other types of Amplatzer devices have not been established, successful reports of percutaneous repair using Amplatzer Septal Occluder (ASO) and Amplatzer Ductal Occluder (ADO) have emerged for high-risk surgical patients with VSPs [11,13].…”

Section: Discussionmentioning

confidence: 99%

Successful repair of recurrent ventricular septal perforation after myocardial infarction using double patch technique via right ventriculotomy: a case report

Ashsholih,

Takasaki,

Tomota

et al. 2024

J Cardiothorac Surg

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Background Post-myocardial infarction (MI) ventricular septal perforation (VSP) is a rare but life-threatening complication. Surgical repair is challenging and carries significant risks, particularly in the context of recurrent VSPs. This case study presents a patient with recurrent VSP after initial surgical repair following myocardial infarction. Case presentation A 65-year-old male were re-administered to our hospital due to recurrent VSP. He was during follow up after undergone emergency VSP closure surgery 2 months earlier, utilizing the bovine double patch technique via left ventriculostomy. The initial VSP was located in the apical part of the interventricular septum, while the recurrent VSP appeared in the upper middle portion of the interventricular septum (Fig. 1). As the previous patch remained intact, the second surgery employed the bovine double patch technique via right ventriculostomy. The patient’s condition remained stable without the development of heart failure symptoms. Conclusion Repairing recurrent VSPs remains a challenge, necessitating the mastery of appropriate approaches to achieve optimal outcomes. Further research and guidelines are required to refine management strategies for recurrent VSPs.

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“…Residual shunting is not unusual after transcatheter closure of postinfarction VSDs 3 ; however, we found few reports of substantial residual shunting in patients who also had severe heart failure or hemolysis. 4 In 2 such patients (one case, a follow-up study of an earlier report 5 ; the other, more recent), substantial residual shunting spontaneously resolved over time. Using coronary angiography and transthoracic echocardiography (TTE), we serially recorded the disappearance of shunt flow, and we report our observations here.…”

Section: Spontaneous Resolution Of Residual Shunting In 2 Compromisedmentioning

confidence: 95%

“…A TTE and left ventriculogram showed small residual shunts. 5 We started the patient on intra-aortic balloon pump (IABP) support and prescribed anticoagulant and antiplatelet medications.…”

Section: Case Reports Patientmentioning

confidence: 99%

“…A TTE and left ventriculogram showed small residual shunts. 5 We started the patient on intra-aortic balloon pump (IABP) support and prescribed anticoagulant and antiplatelet medications.The patient's hemodynamic status improved dramatically, so we terminated IABP support on postoperative day (POD) 1. However, TTE on POD 2 revealed increasing left-to-right shunt flow (peak velocity, 2 m/s) across the ventricular septum through the lower half of the ASO (Fig.…”

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confidence: 99%

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Spontaneous Resolution of Residual Shunting in 2 Compromised Patients after Amplatzer Occlusion of Postinfarction Ventricular Septal Defects

Yanagiuchi¹,

Tada²,

Suchi³

et al. 2019

Texas Heart Institute Journal

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Ventricular septal defect (VSD) is a rare, potentially fatal complication of acute myocardial infarction. When surgical closure is contraindicated, transcatheter closure may be an alternative. Residual shunting after transcatheter closure of postinfarction VSDs has been reported; however, we found few cases of this in patients who also had severe heart failure or hemolysis. We report 2 closures of postinfarction VSDs with use of the Amplatzer Septal Occluder. Both elderly patients—one with severe heart failure, one with persistent hemolysis, and neither a surgical candidate—had high-velocity residual shunting through the occluders. We intensively managed the patients' conditions and used angiography and transthoracic echocardiography to record the gradual disappearance of each shunt over 4 months—the first such serial monitoring of which we are aware. We think that even substantial shunting in the presence of severe heart failure or hemolysis can eventually resolve spontaneously, assuming effective management of the concomitant medical conditions.

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Percutaneous closure of post-infarction ventricular septal defect using an Amplatzer septal occluder

Cited by 5 publications

References 13 publications

Successful percutaneous treatment of recurrent post-infarction ventricular septal rupture using an Amplatzer duct occluder

Successful percutaneous treatment of recurrent post-infarction ventricular septal rupture using an Amplatzer duct occluder

Successful repair of recurrent ventricular septal perforation after myocardial infarction using double patch technique via right ventriculotomy: a case report

Spontaneous Resolution of Residual Shunting in 2 Compromised Patients after Amplatzer Occlusion of Postinfarction Ventricular Septal Defects

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