Premium
Transcatheter closure of a traumatic ventricular septal defect using an amplatzer™ atrial septal occluder device
Author(s) -
Ali Taimur A.,
Fatimi Saulat H.,
Hasan Babar S.
Publication year - 2013
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.24739
Subject(s) - medicine , cardiopulmonary bypass , shunt (medical) , surgery , catheter , ventricle , cardiology , leak , environmental engineering , engineering
A relatively rare occurrence, the incidence of ventricular septal defect (VSD) complicating penetrating cardiac trauma has been reported at 4.5%. Closing such defects may be challenging especially in an unstable patient where cardiopulmonary bypass may exponentially increase the surgical risk. In such patients, catheter‐based device closure is a reliable and effective alternative. We describe case of a 30 year old man who presented with a stab wound to his anterior mediastinum. His injuries involved laceration to right and left ventricles and a VSD. His lacerations were repaired on a beating heart and the VSD was not addressed due to patient hemodynamic instability. The VSD was semi‐electively closed using a 24 mm Amplatzer™ device as the patient demonstrated significant left to right shunt. Post‐device closure, the patient developed hemolysis attributed to an intra‐ device residual leak. The hemolysis resolved without any complications by conservative medical management. At latest follow‐up the patient is in NYHA functional class I–II . © 2013 Wiley Periodicals, Inc.