Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
CASE REPORT
Year : 2019  |  Volume : 29  |  Issue : 1  |  Page : 17-19

Ventricular Septal Defect Complicating Inferior Acute Myocardial Infarction: A Case of Percutaneous Closure


1 Heart Department, University Hospital “S.Giovanni di Dio e Ruggi D'Aragona”, Salerno, Italy
2 Pediatric Cardiology and GUCH Unit, Fondazione Toscana CNR -G.Monasterio, Massa, Italy

Correspondence Address:
Rodolfo Citro
Department of Heart, University Hospital “San Giovanni di Dio e Ruggi d'Aragona,” Heart Tower, Room 810, Largo Città di Ippocrate, Salerno 84131
Italy
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcecho.jcecho_60_18

Rights and Permissions

Ventricular septal defect (VSD) is one of the most serious mechanical complications of acute myocardial infarction (AMI). Despite the incidence of post-AMI VSD in reperfusion era has reduced from 1%–2% to 0.17%–0.31%, it is a still life-threatening condition with poor prognosis. Surgical VSD closure is considered the best treatment approach since conservative management carries an extremely high mortality rate. Over the last decade, percutaneous transcatheter closure has emerged as an alternative therapeutic strategy for a patient with post-AMI VSD, with outcomes similar to cardiac surgery (30-day mortality 14%–66%). We present a case of inferior AMI complicated by posterobasal VSD and cardiogenic shock successfully treated with percutaneous closure. The role of echocardiography in diagnosis, management, and percutaneous procedure guiding has been emphasized.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed865    
    Printed63    
    Emailed0    
    PDF Downloaded42    
    Comments [Add]    

Recommend this journal