Late Aortic Insufficiency After Ventricular Device Closure: A Case Report

Abstract

Device closure of isolated ventricular septal defect is taking precedence over surgical closure in current era. However, device closure in perimembranous and subarterial VSD is complicated by procedural acute aortic regurgitation. In this report we found late aortic regurgitation after four years of device closure of ventricular septal defect. This incident needs one to reconsider the choice of device in patients with perimembranous or subarterial ventricular septal defect as the rim of the occluder device is near the aortic cusp. Early intervention after the development of significant aortic regurgitation is beneficial for the patient.