Transcatheter Closure of Iatrogenic VSDs after Aortic Valve Replacement Surgery: 2 Case Reports and a Literature Review | Zendy

John D.S. Taleyratne | Zendy; Robert Henderson | Zendy

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Transcatheter Closure of Iatrogenic VSDs after Aortic Valve Replacement Surgery: 2 Case Reports and a Literature Review

Author(s) -

John D.S. Taleyratne,

Robert Henderson

Publication year - 2016

Publication title -

texas heart institute journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.373

H-Index - 53

eISSN - 1526-6702

pISSN - 0730-2347

DOI - 10.14503/thij-15-5083

Subject(s) - medicine , intracardiac injection , shunt (medical) , surgery , valve replacement , cardiac catheterization , closure (psychology) , cardiac surgery , aortic valve , cardiology , stenosis , market economy , economics

We report 2 new cases of transcatheter closure of iatrogenic ventricular septal defects after aortic valve replacement surgery, together with our finding, in a literature review, of 9 additional patients who had undergone this procedure from 2004 through 2013. In all 11 cases, transcatheter device closure was indicated for a substantial intracardiac shunt with symptomatic heart failure, and such a device was successfully deployed across the iatrogenic ventricular septal defect, with clinical improvement. Our review suggests that transcatheter closure of iatrogenic ventricular septal defects in patients with previous aortic valve replacement surgery is a safe and effective treatment option, providing anatomic defect closure and relief of symptoms in the short-to-medium term.

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