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Transcatheter closure of a complex postmyocardial infarction ventricular septal defect after surgical patch dehiscence

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Ventricular septal defect (VSD) complicating acute myocardial infarction is a rare but serious event carrying a high mortality. Residual shunting after emergency surgical repair is common, adversely affects prognosis and can necessitate reoperation. We describe the successful transcatheter VSD closure with the Amplatzer occluder in a 75-year old man after earlier emergency surgical repair of a VSD complicating an acute myocardial infarction. The technique and positioning of the device in a tortuous infero-apical VSD are described. (Intern Med J 2005; 35: 128–130)
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Keywords: Amplatzer device; myocardial infarction; transcatheter closure; ventricular septal defect

Document Type: Research Article

Affiliations: 1: Cardiology 2: Paediatric Cardiology 3: Cardiothoracic Surgery, Green Lane Hospital 4: Cardiology, Middlemore Hospital, Auckland, New Zealand

Publication date: 2005-02-01

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