Iatrogenic VSD, Closure Attempt With Complications, and Ultimate Success.

ABSTRACT:

Background

Iatrogenic postsurgical ventricular septal defect (VSD) is a rare complication of surgical aortic valve replacement (SAVR).

Case summary

A patient presented with left-sided heart failure due to an initially missed postoperative VSD after redo SAVR. A moderate shunt in the perimembranous area was discovered. During the initial closure attempt, an intracardiac echocardiography catheter caused dislodgment of a ventricular pacing lead. A later closure attempt was successful with a discrete residual defect and improved patient status.

Discussion

Postsurgical VSD is considered exceedingly rare after SAVR and presents a therapeutic challenge because of patient frailty during postsurgical recovery. Key device closure considerations include defect geometry, rim suff

SUBMITTER: Schroder J 

PROVIDER: S-EPMC12932996 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature