Transcatheter closure of complex iatrogenic ventricular septal defect: a case report.

ABSTRACT:

Background

Iatrogenic membranous ventricular septal defects (VSDs) are rare complications of cardiothoracic surgery, such as septal myectomy for hypertrophic obstructive cardiomyopathy (HOCM). Transcatheter closure is considered an appealing alternative to surgery, given the increased mortality associated with repeated surgical procedures, but reports are extremely limited.

Case summary

We herein report the case of a 63-year-old woman with HOCM who underwent successful percutaneous closure of an iatrogenic VSD after septal myectomy. Two percutaneous techniques are discussed, namely the 'muscular anchoring' and the 'buddy wire delivery', aimed at increasing support and providing stability to the system during percutaneous intervention.

Discussion

Transcatheter closure

SUBMITTER: Barioli A 

PROVIDER: S-EPMC7319813 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature