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Case Reports in Cardiology
Volume 2014, Article ID 159010, 3 pages
http://dx.doi.org/10.1155/2014/159010
Case Report

Delayed Amplatzer Occluder Device Closure of Postinfarction Ventricular Septal Defect: A Case Report

1St Vincent’s Hospital Sydney, NSW 2010, Australia
2Blacktown Hospital Sydney, NSW 2148, Australia

Received 24 December 2013; Accepted 21 January 2014; Published 3 March 2014

Academic Editors: K. Nikus and K. Shimada

Copyright © 2014 Francis Ting et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Postinfarction ventricular septal defect (VSD) is a rare complication after acute myocardial infarction, with an incidence rate of 1-2% of all myocardial infarcts (Hutchins, 1979). It is a medical emergency with sobering survival numbers, having a mortality rate of 70–80% within two weeks of the incident event (Bouchart et al., 1998). Cardiac surgery is considered the gold standard in the management of these defects; however, its main limitation is that it carries a high risk of perioperative mortality and postoperative sequelae. Percutaneous transcatheter closure of VSD is a relatively new method of repair. Due to scarcity of reports in the literature, there is limited data regarding survival data; however, noninferiority to surgery has been demonstrated in one case series (Papalexopoulou et al., 2013). Long-term follow-up studies are lacking, and thus long-term mortality has yet to be discerned. We present a case of an 87-year-old female who, following postmyocardial infarction VSD, developed clinically significant heart failure. The patient was reluctant to undergo open repair given her age and comorbidities and she underwent successful percutaneous repair of her VSD using a 16 mm Amplatzer occluder device 18 months after her initial presentation.