PMID- 31427103 OWN - NLM STAT- MEDLINE DCOM- 20210715 LR - 20210715 IS - 1878-0938 (Electronic) IS - 1878-0938 (Linking) VI - 21 IP - 11S DP - 2020 Nov TI - Post-Myocardial Infarction Ventricular Septal Defect Closure by a Percutaneous Septal Occluder Device After Unsuccessful Surgical Closure: Never Lose Hope. PG - 65-68 LID - S1553-8389(19)30416-6 [pii] LID - 10.1016/j.carrev.2019.07.007 [doi] AB - Post myocardial infarction ventricular septal defect (VSD) is a life-threatening complication following ST elevation myocardial infarction (STEMI). Current guidelines recommend the urgent VSD closure for its significant mortality. Despite VSD is generally treated by surgical repair, surgeons often refrain from early surgery due to extremely poor results. We report the case of a 76-year-old women admitted to our hospital for a subacute myocardial infarction complicated by acute heart failure with VSD and apical thrombosis. The patient underwent an urgent surgical repair of VSD with a bovine pericardium patch and concomitant double saphenous vein graft for the left anterior descending and the first diagonal branch. After two days an early surgical patch dehiscence was observed and a percutaneous closure was planned. Due to the particular morphology of the unnatural anatomy of the septum generated by the dehiscence, we decided to close the defect using an off-label device for ventricular rupture. A 30/30 mm Amplatzer ASD-MF occluder was successfully implanted. At one-year follow up the patient was alive without significant residual shunt. CI - Copyright (c) 2019 Elsevier Inc. All rights reserved. FAU - Boi, Alberto AU - Boi A AD - Interventional Cardiology, Azienda Ospedaliera Brotzu, Cagliari, Sardegna, Italy. Electronic address: albeboi@tiscali.it. FAU - Cocco, Daniele AU - Cocco D AD - Interventional Cardiology, Azienda Ospedaliera Brotzu, Cagliari, Sardegna, Italy. FAU - Sanna, Francesco AU - Sanna F AD - Interventional Cardiology, Azienda Ospedaliera Brotzu, Cagliari, Sardegna, Italy. FAU - Rossi, Angelica AU - Rossi A AD - Interventional Cardiology, Azienda Ospedaliera Brotzu, Cagliari, Sardegna, Italy. FAU - Fele, Giovanna Salvatorica AU - Fele GS AD - Interventional Cardiology, Azienda Ospedaliera Brotzu, Cagliari, Sardegna, Italy. FAU - Tumbarello, Roberto AU - Tumbarello R AD - Pediatric Cardiology, Azienda Ospedaliera Brotzu, Cagliari, Sardegna, Italy. FAU - Manconi, Manlio AU - Manconi M AD - Cardiac Anesthesia, Azienda Ospedaliera Brotzu, Cagliari, Sardegna, Italy. FAU - Lixi, Giovanni AU - Lixi G AD - Cardiac Surgery, Azienda Ospedaliera Brotzu, Cagliari, Sardegna, Italy. FAU - Cirio, Emiliano Maria AU - Cirio EM AD - Cardiac Surgery, Azienda Ospedaliera Brotzu, Cagliari, Sardegna, Italy. FAU - Loi, Bruno AU - Loi B AD - Interventional Cardiology, Azienda Ospedaliera Brotzu, Cagliari, Sardegna, Italy. LA - eng PT - Case Reports DEP - 20190707 PL - United States TA - Cardiovasc Revasc Med JT - Cardiovascular revascularization medicine : including molecular interventions JID - 101238551 SB - IM MH - Aged MH - Animals MH - *Anterior Wall Myocardial Infarction MH - Cardiac Catheterization MH - Cattle MH - Female MH - *Heart Septal Defects, Ventricular MH - Humans MH - Myocardium MH - *Septal Occluder Device MH - Treatment Outcome EDAT- 2019/08/21 06:00 MHDA- 2021/07/16 06:00 CRDT- 2019/08/21 06:00 PHST- 2019/06/15 00:00 [received] PHST- 2019/07/03 00:00 [accepted] PHST- 2019/08/21 06:00 [pubmed] PHST- 2021/07/16 06:00 [medline] PHST- 2019/08/21 06:00 [entrez] AID - S1553-8389(19)30416-6 [pii] AID - 10.1016/j.carrev.2019.07.007 [doi] PST - ppublish SO - Cardiovasc Revasc Med. 2020 Nov;21(11S):65-68. doi: 10.1016/j.carrev.2019.07.007. Epub 2019 Jul 7.