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Heart 1998;80:522-524; doi:10.1136/hrt.80.5.522
Copyright © 1998 BMJ Publishing Group Ltd & British Cardiovascular Society

Heart 1998;80:522-524 ( November )

Case report

Transcatheter closure of a residual postmyocardial infarction ventricular septal defect with the Amplatzer septal occluder E M Lee,a D H Roberts,a K P Walshb

a Blackpool Victoria Hospital, Whinney Heys Road, Blackpool, Lancashire FY3 8NR, UK, b Alder Hey Children's Hospital, Eaton Road, Liverpool L2 2AP, UK

Correspondence to: Dr Lee.

Accepted for publication 29 May 1998

Acute ventricular septal rupture following myocardial infarction carries a high mortality. Early surgery improves survival but long term outcome depends on residual shunting and left ventricular function. Residual shunting is common despite apparently successful closure and may require reoperation. Transcatheter closure is an established method of treating selected congenital defects but clinical experience of transcatheter closure in postinfarction ventricular septal rupture is minimal. Transcatheter closure of a residual ventricular septal defect was successfully done using a new device, the Amplatzer septal occluder, in a 50 year old Indian man who had previously undergone emergency surgical repair for postinfarction acute ventricular septal rupture. The technique is described and its potential as a treatment in postinfarction ventricular septal rupture, its possible complications, and the important aspects of case selection and device design are discussed.

Keywords: ventricular septal defect;  transcatheter closure;  Amplazter septal occluder

© 1998 by Heart
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