PT  - JOURNAL ARTICLE
AU  - E M Lee
AU  - D H Roberts
AU  - K P Walsh
TI  - Transcatheter closure of a residual postmyocardial infarction ventricular septal defect with the Amplatzer septal occluder
AID  - 10.1136/hrt.80.5.522
DP  - 1998 Nov 01
TA  - Heart
PG  - 522--524
VI  - 80
IP  - 5
4099  - http://heart.bmj.com/content/80/5/522.short
4100  - http://heart.bmj.com/content/80/5/522.full
SO  - Heart1998 Nov 01; 80
AB  - 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.