PMID- 33709921
OWN - NLM
STAT- MEDLINE
DCOM- 20211206
LR  - 20211214
IS  - 1308-4488 (Electronic)
IS  - 1016-5169 (Linking)
VI  - 49
IP  - 2
DP  - 2021 Mar
TI  - Transcatheter ventricular septal rupture closure: A challenging case of basal 
      inferoseptal aneurysm and rupture.
PG  - 151-155
LID - 10.5543/tkda.2021.96809 [doi]
AB  - Ventricular septal rupture (VSR) is an ominous mechanical complication of acute 
      myocardial infarction (MI) accompanied with a poor prognosis. Transcatheter 
      closure (TCC) of VSR has been proposed as an alternative approach for surgery. 
      This study presents a 79-year-old man with diabetes mellitus, hypertension, 
      dyslipidemia, and chronic stable angina with 3-vessel coronary artery disease, 
      who had refused a coronary artery bypass graft. He complained of orthopnea and 
      dyspnea of New York Heart Association (NYHA) function class III after the recent 
      neglected inferior MI. Transthoracic echocardiography revealed moderate left 
      ventricular (LV) systolic dysfunction, true aneurysm formation at the base of the 
      inferoseptal wall, as well as a large-sized (12 mm) VSR at the posterior aspect 
      of basal inferoseptal segment with significant left to right shunt and a peak 
      systolic gradient of 50 mm Hg at the VSR site. Given the high risk profile for 
      surgery and patient refusal, he was a candidate for TCC of VSR and staged 
      multi-vessel percutaneous coronary intervention (PCI). A 30 mm Figulla atrial 
      septal defect (ASD) occluder device was chosen and successfully deployed at the 
      VSR site with minimal residual shunt. A month later, successful multi-vessel PCI 
      was performed with good procedural and clinical outcomes on the 6-month 
      follow-up.
FAU - Parsaee, Mozhgan
AU  - Parsaee M
AD  - Department of Echocardiography, Rajaie Cardiovascular Medical and Research 
      Center, Iran University of Medical Sciences, Tehran, Iran.
FAU - Firouzi, Ata
AU  - Firouzi A
AD  - Cardiovascular Intervention Research Center, Rajaie Cardiovascular Medical and 
      Research Center, Iran University of Medical Sciences, Tehran, Iran.
FAU - Kaviani, Raheleh
AU  - Kaviani R
AD  - Echocardiography Research Center, Rajaei Cardiovascular Medical and Research 
      Center, Iran University of Medical Sciences, Tehran, Iran.
FAU - Soleimani, Azam
AU  - Soleimani A
AD  - Cardiac Rehabilitation Research Center, Isfahan Cardiovascular Research 
      Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Video-Audio Media
PL  - Turkey
TA  - Turk Kardiyol Dern Ars
JT  - Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir
JID - 9426239
SB  - IM
MH  - Aged
MH  - Coronary Artery Disease/surgery
MH  - Echocardiography
MH  - Heart Aneurysm/*complications/diagnostic imaging
MH  - Humans
MH  - Male
MH  - Myocardial Infarction/complications
MH  - Percutaneous Coronary Intervention/*methods
MH  - *Septal Occluder Device
MH  - Ventricular Septal Rupture/diagnostic imaging/*surgery
EDAT- 2021/03/13 06:00
MHDA- 2021/12/15 06:00
CRDT- 2021/03/12 12:28
PHST- 2021/03/12 12:28 [entrez]
PHST- 2021/03/13 06:00 [pubmed]
PHST- 2021/12/15 06:00 [medline]
AID - 10.5543/tkda.2021.96809 [doi]
PST - ppublish
SO  - Turk Kardiyol Dern Ars. 2021 Mar;49(2):151-155. doi: 10.5543/tkda.2021.96809.