Innovative Use of Fusion Imaging for Percutaneous Closure of Post-Myocardial Infarction Ventricular Septal Rupture.

ABSTRACT:

Background

Ventricular septal rupture (VSR) post myocardial infarction (MI) is a rare, high-risk complication requiring urgent intervention. Fusion imaging (FI), integrating echocardiography and fluoroscopy, offers a novel approach for percutaneous closure in unstable patients.

Case summary

A 60-year-old man developed cardiogenic shock and basal VSR after inferior MI stent placement. Echocardiography confirmed the defect with a left-to-right shunt. Using FI, percutaneous closure with a 16-mm Amplatzer device was completed under real-time guidance. Post-procedure imaging revealed a well-seated device with minimal residual shunt.

Discussion

Overlaying echocardiographic imaging on fluoroscopy enhances procedural precision and can reduce radiation and procedural time. Thi

SUBMITTER: Alkhawam M 

PROVIDER: S-EPMC12426527 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature