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- Title
Transcatheter closure of complex iatrogenic ventricular septal defect: a case report.
- Authors
Barioli, Alberto; Cardaioli, Francesco; Pavei, Andrea; Tarantini, Giuseppe
- Abstract
Background Iatrogenic membranous ventricular septal defects (VSDs) are rare complications of cardiothoracic surgery, such as septal myectomy for hypertrophic obstructive cardiomyopathy (HOCM). Transcatheter closure is considered an appealing alternative to surgery, given the increased mortality associated with repeated surgical procedures, but reports are extremely limited. Case summary We herein report the case of a 63-year-old woman with HOCM who underwent successful percutaneous closure of an iatrogenic VSD after septal myectomy. Two percutaneous techniques are discussed, namely the 'muscular anchoring' and the 'buddy wire delivery', aimed at increasing support and providing stability to the system during percutaneous intervention. Discussion Transcatheter closure represents an attractive minimally invasive approach for the management of symptomatic iatrogenic VSDs. The new techniques described could help operators to cross tortuous and tunnelled defects and to deploy closure devices in case of complex VSD anatomy.
- Subjects
VENTRICULAR septal defects; HEART septum abnormalities; CARDIOMYOPATHIES; HEART diseases; MYOMECTOMY
- Publication
European Heart Journal Case Reports, 2020, Vol 4, Issue 3, p1
- ISSN
2514-2119
- Publication type
Article
- DOI
10.1093/ehjcr/ytaa106