Skip to main content

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

Cardiovascular Intervention and Therapeutics volume 28, pages 216–221 (2013)Cite this article

Abstract

A 77-year-old woman underwent percutaneous closure of post-infarction ventricular septal defect. The defect was successfully closed with a 20-mm Amplatzer septal occluder with a small residual shunt and Qp/Qs improved from 3.38 to 1.48. She was discharged 30 days after procedure. To our knowledge, this is the first case reported in Japan.

This is a preview of subscription content, access via your institution.

Access options

Buy single article

Instant access to the full article PDF.

43,34 €

Price includes VAT (Finland)
Tax calculation will be finalised during checkout.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

References

  1. Pohjola-Sintonen S, Muller JE, Stone PH, Willich SN, Antman EM, Davis VG, et al. Ventricular septal and free wall rupture complicating acute myocardial infarction: experience in the Multicenter Investigation of Limitation of Infarct Size. Am Heart J. 1989;117(4):809–18.

    PubMed  Article  CAS  Google Scholar 

  2. Crenshaw BS, Granger CB, Birnbaum Y, Pieper KS, Morris DC, Kleiman NS, et al. Risk factors, angiographic patterns, and outcomes in patients with ventricular septal defect complicating acute myocardial infarction. GUSTO-I (Global Utilization of Streptokinase and TPA for Occluded Coronary Arteries) Trial Investigators. Circulation. 2000 Jan 4–11;101(1):27–32.

  3. Menon V, Webb JG, Hillis LD, Sleeper LA, Abboud R, Dzavik V, et al. Outcome and profile of ventricular septal rupture with cardiogenic shock after myocardial infarction: a report from the SHOCK Trial Registry. SHould we emergently revascularize Occluded Coronaries in cardiogenic shocK? J Am Coll Cardiol. 2000 Sep;36(3 Suppl A):1110–6.

  4. Demkow M, Ruzyllo W, Kepka C, Chmielak Z, Konka M, Dzielinska Z, et al. Primary transcatheter closure of postinfarction ventricular septal defects with the Amplatzer septal occluder—immediate results and up-to 5 years follow-up. EuroIntervention. 2005;1(1):43–7.

    PubMed  CAS  Google Scholar 

  5. Holzer R, Balzer D, Amin Z, Ruiz CE, Feinstein J, Bass J, et al. Transcatheter closure of postinfarction ventricular septal defects using the new Amplatzer muscular VSD occluder: results of a US Registry. Catheter Cardiovasc Interv. 2004;61(2):196–201.

    PubMed  Article  Google Scholar 

  6. Maltais S, Ibrahim R, Basmadjian AJ, Carrier M, Bouchard D, Cartier R, et al. Post infarction ventricular septal defects: towards a new treatment algorithm? Ann Thorac Surg. 2009;87:687–92.

    PubMed  Article  Google Scholar 

  7. Thiele H, Kaulfersch C, Daehnert I, Schoenauer M, Eitel I, Borger M, et al. Immediate primary transcatheter closure of postinfarction ventricular septal defects. Eur Heart J. 2009;30:81–8.

    PubMed  Article  Google Scholar 

  8. Szkutnik M, Bialkowski J, Kusa J, Banaszak P, Baranowski J, Gasior M, et al. Postinfarction ventricular septal defect closure with Amplatzer occluders. Eur J Cardiothorac Surg. 2003;23(3):323–7.

    PubMed  Article  CAS  Google Scholar 

  9. Biner S, Kar S, Siegel RJ, Rafique A, Shiota T. Value of color Doppler three-dimensional transesophageal echocardiography in the percutaneous closure of mitral prosthesis paravalvular leak. Am J Cardiol. 2010 Apr 1;105(7):984–9. Epub 2010 Feb 13.

  10. Lemery R, Smith HC, Giuliani ER, Gersh BJ. Prognosis in rupture of the ventricular septum after acute myocardial infarction and role of early surgical intervention. Am J Cardiol. 1992;70:147–51.

    PubMed  Article  CAS  Google Scholar 

  11. Giuliani ER, Danielson GK, Pluth JR, Odyniec NA, Wallace RB. Postinfarction ventricular septal rupture: surgical considerations and results. Circulation. 1974;49(3):455–9.

    PubMed  Article  CAS  Google Scholar 

  12. Holzer R, Balzer D, Cao QL, Lock K, Amplatzer Muscular Ventricular Septal Defect Investigators. Device closure of muscular ventricular septal defects using the Amplatzer muscular ventricular septal defect occluder: immediate and mid-term results of a US Registry. J Am Coll Cardiol. 2004;43(7):1257–63.

    PubMed  Article  Google Scholar 

  13. Halpern DG, Perk G, Ruiz C, Marino N, Kronzon I. Percutaneous closure of a post-myocardial infarction ventricular septal defect guided by real-time three-dimensional echocardiography. Eur J Echocardiogr. 2009 Jun;10(4):569–71. Epub 2009 Feb 27.

  14. Madsen JC, Daggett WM. Repair of postinfarction ventricular septal defects. Semin Thorac Cardiovasc Surg. 1998;10:117–27.

    PubMed  CAS  Google Scholar 

  15. Kar S, Ibebuogu UN, Conte AH. Utilization of 3 Amplatzer occluders for closure of post-myocardial infarction ventricular septal defect. J Invasive Cardiol. 2012;24(5):E101–3.

    PubMed  Google Scholar 

Download references

Author information

Affiliations

  1. Sendai Kousei Hospital, Sendai, Miyagi, Japan

    Norio Tada, Kaname Takizawa, Mie Sakurai, Genya Yaginuma, Naoto Inoue & Taiichiro Meguro

Authors
  1. Norio Tada
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kaname Takizawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mie Sakurai
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Genya Yaginuma
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Naoto Inoue
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Taiichiro Meguro
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Norio Tada.

About this article

Cite this article

Tada, N., Takizawa, K., Sakurai, M. et al. Percutaneous closure of post-infarction ventricular septal defect using an Amplatzer septal occluder. Cardiovasc Interv and Ther 28, 216–221 (2013). https://doi.org/10.1007/s12928-012-0150-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12928-012-0150-z

Keywords

  • Ventricular Septal Defect
  • Bare Metal Stent
  • Transcatheter Closure
  • Residual Shunt
  • Percutaneous Closure