Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Percutaneous Closure of an Iatrogenic Ventricular Septal Defect Following Concomitant Septal Myectomy at the Time of Aortic Valve Replacement

  • Ryu, Il Hwan (Department of Internal Medicine, Eulji University Hospital, Eulji University School of Medicine) ;
  • Kim, Won Ho (Department of Internal Medicine, Eulji University Hospital, Eulji University School of Medicine) ;
  • Ryu, Ah Jeong (Department of Internal Medicine, Eulji University Hospital, Eulji University School of Medicine) ;
  • Kim, Min Gyu (Department of Internal Medicine, Eulji University Hospital, Eulji University School of Medicine) ;
  • Jeon, Jae Woong (Department of Internal Medicine, Eulji University Hospital, Eulji University School of Medicine) ;
  • Kim, Joo Seok (Department of Internal Medicine, Eulji University Hospital, Eulji University School of Medicine) ;
  • Lee, Jae Joon (Department of Internal Medicine, Eulji University Hospital, Eulji University School of Medicine) ;
  • Choi, Jin Ho (Division of Thoracic and Cardiovascular Surgery, Eulji University Hospital, Eulji University School of Medicine)
  • Received : 2013.07.28
  • Accepted : 2013.09.10
  • Published : 2014.01.30
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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.

Keywords

References

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Cited by

  1. (Interventricular septal defect as a complication of a concomitant aortic valve replacement and aortocoronary bypass surgery) vol.61, pp.5, 2014, https://doi.org/10.1016/j.crvasa.2018.09.006