Percutaneous Closure of an Iatrogenic Ventricular Septal Defect Following Concomitant Septal Myectomy at the Time of Aortic Valve Replacement.
- Author:
Il Hwan RYU
1
;
Won Ho KIM
;
Ah Jeong RYU
;
Min Gyu KIM
;
Jae Woong JEON
;
Joo Seok KIM
;
Jae Joon LEE
;
Jin Ho CHOI
Author Information
- Publication Type:Case Report
- Keywords: Heart septal defects; Septal occluder device
- MeSH: Aged; Aortic Valve*; Female; Heart Septal Defects; Heart Septal Defects, Ventricular*; Humans; Septal Occluder Device
- From:Korean Circulation Journal 2014;44(1):45-48
- CountryRepublic of Korea
- Language:English
- Abstract: A 77-year-old female patient underwent aortic valve replacement (AVR) with concomitant septal myectomy and tricuspid annuloplasty. Her symptoms did not improve after a successful operation. Echocardiogram demonstrated the presence of an iatrogenic ventricular septal defect (VSD). It was muscular in location and not the usual AVR with membraneous type of VSD, suggesting a complication from the myectomy. Percutaneous closure of the VSD remained the only feasible option due to her poor overall medical status. A 14-mm Amplazter VSD occluder was deployed successfully, by means of the trans-septal technique. She has improved very well postoperatively.
