Technical Considerations for the Percutaneous Management of Post-MI Ventricular Septal Rupture

Author:

Anbalakan Kamalesh1ORCID,Yap Jonathan2ORCID,Foo Jie Sheng2ORCID,Yan Limin1,Lee Phong Teck2ORCID,Lim Soo Teik2ORCID,Tan Ju Le2ORCID

Affiliation:

1. Department of Cardiology, National Heart Centre Singapore, Singapore

2. Department of Cardiology, National Heart Centre Singapore, Singapore; Duke-NUS Medical School, Singapore

Abstract

Percutaneous techniques in managing post-MI ventricular septal rupture (VSR) have given recourse to patients deemed at high or prohibitive risk. Given the rarity of this catastrophic complication, experience is limited. VSR anatomy – with its complex 3D shape and more emergent presentation – is dissimilar to its congenital counterparts, leading to unique imaging and procedural challenges. We review the literature on percutaneous device closure of post-infarction VSR and, using practical illustrative cases, describe a systematic planning and technical approach for performing this complex procedure.

Publisher

Radcliffe Media Media Ltd

Reference25 articles.

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