RT Journal Article
SR Electronic
T1 e0542 Transcatheter therapy of ventricular septal rupture in patients with acute myocardial infarction complicated by ventricular septal rupture
JF Heart
JO Heart
FD BMJ Publishing Group Ltd and British Cardiovascular Society
SP A168
OP A168
DO 10.1136/hrt.2010.208967.542
VO 96
IS Suppl 3
A1 Guang-Yi, WANG
A1 Bao-Shi, HAN
A1 Zhi-Feng, WANG
A1 Hai-Jun, HOU
A1 Yue, LI
A1 Yu, WANG
A1 Guang, ZHI
A1 Yong, XU
A1 Yun-Dai, CHEN
YR 2010
UL http://heart.bmj.com/content/96/Suppl_3/A168.1.abstract
AB Objective To explore the feasibility and clinical effects by transcatheter interventions used for the patient suffering acute myocardial infarction (AMI) complicating with ventricular septal rupture (VSR) postinfarction. Methods Between June 2005 and August 2009, Ventricular septal rupture (VSR) patients diagnosed with VSR underwent transcatheter closure aged 59–79 years old (mean 63.3±24.7). The occluders were released with the monitoring of transthoracic echocardiography (TTE) and X-ray fluoroscopy. Results 3 cases were successfully treated with transcatheter closure. The defect diameter was 11–28 (17±9.5) mm measured by TTE and the size of the occluder was 16–32 (21.3±7.6) mm. The occluder successful rate was 100%. The case success in 2 and a big VSR lead to die in 1. Conclusions VSR was showed by praecordial area auscultation, transthoracic echocardiography (TTE) and left ventricular angiography after AMI. The transcatheter closure of VSR postinfarction is alternative method in patients not suite for surgical closure. But the careful examination and preparation are need before transcatheter closure.