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10.5606/tgkdc.dergisi.2013.3260
Transcatheter closure of post-myocardial infarction ventricular septal defect with the amplatzer septal occluder
Abdullah Erdem1, Celal Akdeniz1, Cenap Zeybek1, Numan Ali Aydemir2, Ahmet Çelebi1
1Department of Pediatric Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
2Department of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2013.3260
The ventricular septal defect (VSD) is an uncommon
complication of post-myocardial infarction (MI) in
0.2% of the patients. Medical therapy alone results in
a considerably poor prognosis with a one year survival
of 3-7%. Until recently, urgent or early surgical defect
closure has remained the only therapeutic option.
However, surgical defect closure is associated with high
mortality rate and residual shunt in up to 20%. The
Amplatzer devices provide a novel therapeutic option
for transcatheter treatment for this complication. There
is a limited data on transcatheter closure of post-MI
VSD. In this article, we present a 55-year-old male
case with post-MI VSD which was closed by Amplatzer
septal occluder designed to close secundum atrial septal
defects.
Keywords : Amplatzer; myocardial infarction; ventricular septal defect
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