Postinfarction Ventricular Septal Rupture: Identification of the Failure Mechanism of a Percutaneous Closure Procedure

Ventricular septal rupture (VSR) is a rare but highly lethal (∼60%) mechanical complication of myocardial infarction (MI). Although surgical repair has been the gold standard to correct the structural anomaly, percutaneous closure of the defect may represent a valuable therapeutic alternative, with...

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Detalles Bibliográficos
Autores principales: Bachini, Juan P., Torrado, Juan, Vignolo, Gustavo, Durán, Ariel, Biondi-Zoccai, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8897053/
https://www.ncbi.nlm.nih.gov/pubmed/35257098
http://dx.doi.org/10.1016/j.jaccas.2021.09.017
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author Bachini, Juan P.
Torrado, Juan
Vignolo, Gustavo
Durán, Ariel
Biondi-Zoccai, Giuseppe
author_facet Bachini, Juan P.
Torrado, Juan
Vignolo, Gustavo
Durán, Ariel
Biondi-Zoccai, Giuseppe
author_sort Bachini, Juan P.
collection PubMed
description Ventricular septal rupture (VSR) is a rare but highly lethal (∼60%) mechanical complication of myocardial infarction (MI). Although surgical repair has been the gold standard to correct the structural anomaly, percutaneous closure of the defect may represent a valuable therapeutic alternative, with the advantage of immediate shunt reduction to prevent further hemodynamic deterioration in patients with prohibitive surgical risk. Nonetheless, catheter-based VSR closure has faced certain drawbacks that have hampered its application. We describe a clinical case of postinfarction VSR treated with a percutaneous closure device and discuss the procedure’s failure mechanism. (Level of Difficulty: Intermediate.)
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spelling pubmed-88970532022-03-06 Postinfarction Ventricular Septal Rupture: Identification of the Failure Mechanism of a Percutaneous Closure Procedure Bachini, Juan P. Torrado, Juan Vignolo, Gustavo Durán, Ariel Biondi-Zoccai, Giuseppe JACC Case Rep Case Report Ventricular septal rupture (VSR) is a rare but highly lethal (∼60%) mechanical complication of myocardial infarction (MI). Although surgical repair has been the gold standard to correct the structural anomaly, percutaneous closure of the defect may represent a valuable therapeutic alternative, with the advantage of immediate shunt reduction to prevent further hemodynamic deterioration in patients with prohibitive surgical risk. Nonetheless, catheter-based VSR closure has faced certain drawbacks that have hampered its application. We describe a clinical case of postinfarction VSR treated with a percutaneous closure device and discuss the procedure’s failure mechanism. (Level of Difficulty: Intermediate.) Elsevier 2022-03-02 /pmc/articles/PMC8897053/ /pubmed/35257098 http://dx.doi.org/10.1016/j.jaccas.2021.09.017 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Bachini, Juan P.
Torrado, Juan
Vignolo, Gustavo
Durán, Ariel
Biondi-Zoccai, Giuseppe
Postinfarction Ventricular Septal Rupture: Identification of the Failure Mechanism of a Percutaneous Closure Procedure
title Postinfarction Ventricular Septal Rupture: Identification of the Failure Mechanism of a Percutaneous Closure Procedure
title_full Postinfarction Ventricular Septal Rupture: Identification of the Failure Mechanism of a Percutaneous Closure Procedure
title_fullStr Postinfarction Ventricular Septal Rupture: Identification of the Failure Mechanism of a Percutaneous Closure Procedure
title_full_unstemmed Postinfarction Ventricular Septal Rupture: Identification of the Failure Mechanism of a Percutaneous Closure Procedure
title_short Postinfarction Ventricular Septal Rupture: Identification of the Failure Mechanism of a Percutaneous Closure Procedure
title_sort postinfarction ventricular septal rupture: identification of the failure mechanism of a percutaneous closure procedure
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8897053/
https://www.ncbi.nlm.nih.gov/pubmed/35257098
http://dx.doi.org/10.1016/j.jaccas.2021.09.017
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