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http://dx.doi.org/10.4070/kcj.2014.44.1.45

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)
Publication Information
Korean Circulation Journal / v.44, no.1, 2014 , pp. 45-48 More about this Journal
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
Heart septal defects; Septal occluder device;
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