Percutaneous Closure of an Iatrogenic Ventricular Septal Defect Following Concomitant Septal Myectomy at the Time of Aortic Valve Replacement
Korean Circulation Journal 2014³â 44±Ç 1È£ p.45 ~ p.48
À¯ÀÏȯ(Ryu Il-Hwan) - Eulji University College of Medicine Eulji University Hospital Department of Internal Medicine
ÀüÀç¿õ(Jeon Jae-Woong) - Eulji University College of Medicine Eulji University Hospital Department of Internal Medicine
·ù¾ÆÁ¤(Ryu Ah-Jeong) - Eulji University College of Medicine Eulji University Hospital Department of Internal Medicine
±è¹Î±Ô(Kim Min-Gyu) - Eulji University College of Medicine Eulji University Hospital Department of Internal Medicine
±èÁÖ¼®(Kim Joo-Seok) - Eulji University College of Medicine Eulji University Hospital Department of Internal Medicine
±è¿øÈ£(Kim Won-Ho) - Eulji University Hospital Department of Internal Medicine
ÀÌÀçÁØ(Lee Jae-Joon) - Eulji University Hospital Department of Internal Medicine
ÃÖÁøÈ£(Choi Jin-Ho) - Eulji University School of Medicine Department of Thoracic and Cardiovascular Surgery
Abstract
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.
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Heart septal defects, Septal occluder device
KMID :
0368120140440010045
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À¯È¿¼º°á°ú(Recomendation)
This case report strengthen the use of percutaneous VSD closure in the cases of iatrogenic VSD following concomitant septal myectomy with AVR.