Transcatheter closure of post-myocardial infarction ventricular septal defect with the amplatzer septal occluder

Abstract

The ventricular septal defect (VSD) is an uncommon complication of post-myocardial infarction (MI) in 0.2% of the patients. Medical therapy alone results in a considerably poor prognosis with a one year survival of 3-7%. Until recently, urgent or early surgical defect closure has remained the only therapeutic option. However, surgical defect closure is associated with high mortality rate and residual shunt in up to 20%. The Amplatzer devices provide a novel therapeutic option for transcatheter treatment for this complication. There is a limited data on transcatheter closure of post-MI VSD. In this article, we present a 55-year-old male case with post-MI VSD which was closed by Amplatzer septal occluder designed to close secundum atrial septal defects.