Postinfarction Ventricular Septal Defect

Surgical Management of Postinfarction Ventricular Septal Defect

Accessible online at: www.karger.com/journals/hed In this issue of Heart Drug, Prêtre and Turina [1] present a retrospective study of 54 patients operated on for postinfarction ventricular septal defect (VSD) during the period 1979–1998. The treatment protocol applied was based on the principles of early closure, concomitant myocardial revascularization and ventricular remodeling. In the late 1...

Surgical management of recurrent postinfarction ventricular septal defect.

A 57 year old man presented with postinfarction ventricular septal infarct (VSD) a week after myocardial infarction and thrombolytic therapy. Coronary angiography confirmed double vessel disease. He underwent surgical repair of the VSD and coronary artery bypass grafting. Two days postoperatively, he deteriorated due to recurrence of VSD. Reoperation was carried out with satisfactory results. T...

Transcatheter Closure of a Large Postinfarction Ventricular Septal Defect Complicated With Perforation of Ventricular Aneurysm

Ventricular septal defect concurrent with left ventricular aneurysm is unusual in postinfarction patients. The complex anatomy is challenging for occluder deployment in transcatheter closure and associated with high risk of aneurysm perforation. We present a case of transcatheter closure of a large postinfarction ventricular septal defect with an Amplatzer septal occluder in a 71-year-old woman...

Multirow detector computed tomography assessment of intraseptal dissection and ventricular pseudoaneurysm in postinfarction ventricular septal defect.

A46-year-old man had an acute inferior myocardial infarction after physical exercise. There was no evidence of heart failure. The ECG showed a 3-mm ST-T segment elevation with Q waves in leads D2, D3, and VF and a 3-mm depression in leads V2 to V4. Immediate coronary angiography evidenced a tight stenosis with distal slow flow that was located in the right coronary artery. Percutaneous translum...

Closure of postinfarction ventricular septal defect, left ventricular aneurysmectomy, and coronary artery bypass graft. Case report.