Open AccessMultimodality imaging for interventional planning and device closure of an atypical ventricular septal defect occurring late after myocardial infarction
Author(s) -
Robert Schueler,
JanMalte Sinning,
Sebastian Zimmer,
Georg Nickenig,
Christoph Hammerstingl
Publication year - 2014
Publication title -
european heart journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.336
H-Index - 293
eISSN - 1522-9645
pISSN - 0195-668X
DOI - 10.1093/eurheartj/ehu021
Subject(s) - medicine , cardiology , cardiac catheterization , shunt (medical) , myocardial infarction , pulmonary hypertension , pulmonary artery , right coronary artery , coronary angiography
A 75-year-old male was transferred to our clinic with suspected ventricular septal defect (VSD) and acute decompensated chronic heart failure New York Heart Association (NYHA) Class IV. He had a history of posterior STEMI 1 month prior to the actual admission with implantation of three drug-eluting stents (DESs) in the right coronary artery (RCA).Three-dimensional (3D) transoesophageal echocardiography (TOE) revealed a medium-sized VSD in the pars membranacea of the ventricular septum with a continuous left-to-right shunt ( Panel A ).Cardiac catheterization showed patent DESs in RCA, post-capillary pulmonary hypertension, …