Abstract
Introduction: Post-myocardial infarction ventricular septal defect (VsD) is a rare but dreadful complication of acute myocardial infarction. current management of this complication has high morbidity and mortality rates. A hybrid approach (perventricular device closure) to high risk congenital muscular VsD has shown promising results. We report first case of a perventricular device closure of post infarct VsD by Amplatzer post-infarct muscular VsD device. case report: A 52-year-old male was referred to us for rapidly progressive dyspnea. He had anterior wall myocardial infarction, complicated by post-infarct VsD. His coronary angiography revealed 90% lesion in left anterior descending (LAD) artery. Perventricular device closure of VsD (Amplatzer post-infarct muscular VsD device) and graft to the LAD were performed using a beating heart technique. His postoperative stay was complicated by an enlarged secondary
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