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Case Report
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| Perventricular device closure of post-myocardial infarction ventricular septal defect: Can it combine best of both worlds! | ||||||
| Alok Ranjan1, Kalpesh Malik2, Manik Chopra3, Arool Shukla4, Kanaiyalal Patel5 | ||||||
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1MD DNB MRCP (UK) DM, Dr. Alok Ranjan, Sr. Consultant - Interventional Cardiology, CARE Hospital, Surat, India.
2MS M Ch, Dr. Kalpesh Malik, Sr. Cardiovascular Surgeon, CARE Hospital, Surat, India. 3MD DM, Dr. Manik Chopra, Consultant - Interventional Cardiology, Wockhardt Hospital, Surat, India. 4MD IDCCM, Dr. Arool Shukla Consultant - Intensive Care, Wockhardt Hospital, Surat, India. 5MD PDCC, Dr. Kanaiyalal Patel, Consultant - Cardiac Anesthesia, CARE Hospital, Surat, India. | ||||||
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| Ranjan A, Malik K, Chopra M, Shukla A, Patel K. Perventricular device closure of post-myocardial infarction ventricular septal defect: Can it combine best of both worlds! Int J Case Rep Imag 2016;7(4):272–277. |
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Abstract
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Introduction:
Post-myocardial infarction ventricular septal defect (VSD) is a rare but dreadful complication of acute myocardial infarction. Current management of this complication has high morbidity and mortality rates. A hybrid approach (perventricular device closure) to high risk congenital muscular VSD has shown promising results. We report first case of a perventricular device closure of post infarct VSD by Amplatzer post-infarct muscular VSD device.
Case Report: A 52-year-old male was referred to us for rapidly progressive dyspnea. He had anterior wall myocardial infarction, complicated by post-infarct VSD. His coronary angiography revealed 90% lesion in left anterior descending (LAD) artery. Perventricular device closure of VSD (Amplatzer post-infarct muscular VSD device) and graft to the LAD were performed using a beating heart technique. His postoperative stay was complicated by an enlarged secondary post-infarct VSD. It was closed by percutaneous technique. He was discharged in stable condition. He is in compensated heart failure at 1 year follow-up. Conclusion: Perventricular approach to congenital muscular VSD is an established procedure. Applying this approach to post-infarct VSD can also effectively manage this dreadful complication. The combination of surgical and percutaneous techniques might be less traumatic with better outcome. | |
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Keywords:
Closure, Device, Myocardial infarction, Perventricular device, Ventricular septal defect (VSD)
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Author Contributions
Alok Ranjan – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Kalpesh Malik – Acquisition of data, Drafting the article, Final approval of the version to be published Manik Chopra – Acquisition of data, Analysis and interpretation of data, Final approval of the version to be published Arool Shukla – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Dr. Kanaiylal Patel – Acquisition of data, Drafting the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Alok Ranjan et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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