Percutaneous Closure of an Iatrogenic Ventricular Septal Defect Following Concomitant Septal Myectomy at the Time of Aortic Valve Replacement

被引:3
作者
Ryu, Il Hwan [1 ]
Kim, Won Ho [1 ]
Ryu, Ah Jeong [1 ]
Kim, Min Gyu [1 ]
Jeon, Jae Woong [1 ]
Kim, Joo Seok [1 ]
Lee, Jae Joon [1 ]
Choi, Jin Ho [2 ]
机构
[1] Eulji Univ, Eulji Univ Hosp, Sch Med, Dept Internal Med, Taejon 302799, South Korea
[2] Eulji Univ, Eulji Univ Hosp, Sch Med, Div Thorac & Cardiovasc Surg, Taejon 302799, South Korea
关键词
Heart septal defects; Septal occluder device; TRANSCATHETER CLOSURE; HYPERTROPHY; STENOSIS;
D O I
10.4070/kcj.2014.44.1.45
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 77-year-old female patient underwent aortic valve replacement (AVR) with concomitant septal myectomy and tricuspid annuloplasty. Her symptoms did not improve after a successful operation. Echocardiogram demonstrated the presence of an iatrogenic ventricular septal defect (VSD). It was muscular in location and not the usual AVR with membraneous type of VSD, suggesting a complication from the myectomy. Percutaneous closure of the VSD remained the only feasible option due to her poor overall medical status. A 14-mm Amplazter VSD occluder was deployed successfully, by means of the trans-septal technique. She has improved very well postoperatively.
引用
收藏
页码:45 / 48
页数:4
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