{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,29]],"date-time":"2025-03-29T16:44:46Z","timestamp":1743266686944,"version":"3.37.3"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2020,11,27]],"date-time":"2020-11-27T00:00:00Z","timestamp":1606435200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The incidence of the post-infarct ventricular septal defect (VSD) is 0.17%. Surgical repair is the definitive treatment and percutaneous closure is an alternative in high-risk patients. We report a case of post-myocardial infarction inferior wall aneurysm associated with a large ventricular septal rupture, with a communication between the aneurysm and right ventricle. Successful percutaneous closure of both the aneurysm and the post-infarct (VSD) was performed using two Amplatzer septal occluder devices.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 76-year-old man was referred to the clinic 2 weeks after an inferior wall myocardial infarction. A harsh, pansystolic murmur was appreciated on his left parasternal area and across the pericardium. An echocardiogram demonstrated a large, true aneurysm in the mid-cavity inferior wall. The inferior septum was ruptured and dissected, with a large, left-to-right shunt. The patient\u2019s coronary angiography revealed a multi-vessel disease. The patient was considered as high surgical risk and thus transcatheter closure of both the post-infarct VSD and inferior wall aneurysm was recommended. We crossed the VSD from the venous side. An Amplatzer septal occluder (18\u2009mm) was deployed to close the VSD completely. We crossed the aneurysm mouth from the arterial side. Another Amplatzer septal occluder (26\u2009mm) was deployed with the large disc inside the aneurysm, sealing it with no more flow. After discharge from the intensive care unit, the patient underwent complete revascularization for his right coronary artery, left main artery, proximal left anterior descending artery, and ramus intermedius. At his 3-month follow-up, the patient remained well with reasonable exercise tolerance.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Percutaneous closure of a post-infarct VSD and aneurysm is an option for patients whose comorbidities preclude surgical repair and whose septal anatomy is favourable to device placement.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa408","type":"journal-article","created":{"date-parts":[[2020,11,27]],"date-time":"2020-11-27T04:46:42Z","timestamp":1606452402000},"page":"1-7","source":"Crossref","is-referenced-by-count":2,"title":["Concomitant transcatheter closure of post-myocardial infarction ventricular septal defect and inferior wall aneurysm: case report"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6232-169X","authenticated-orcid":false,"given":"Reda","family":"Abuelatta","sequence":"first","affiliation":[{"name":"Madinah Cardiac Center, Khaled Bin Waleed Street, PO 6167, Madinah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tarek","family":"Alrashidy","sequence":"additional","affiliation":[{"name":"Madinah Cardiac Center, Khaled Bin Waleed Street, PO 6167, Madinah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4450-7167","authenticated-orcid":false,"given":"Fatma","family":"Taha","sequence":"additional","affiliation":[{"name":"Madinah Cardiac Center, Khaled Bin Waleed Street, PO 6167, Madinah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3780-6262","authenticated-orcid":false,"given":"Hesham Abdo","family":"Naeim","sequence":"additional","affiliation":[{"name":"Madinah Cardiac Center, Khaled Bin Waleed Street, PO 6167, Madinah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,11,27]]},"reference":[{"key":"2021010812223798300_ytaa408-B1","doi-asserted-by":"crossref","first-page":"1426","DOI":"10.1056\/NEJMra020228","article-title":"Ventricular septal rupture after acute myocardial infarction","volume":"347","author":"Birnbaum","year":"2002","journal-title":"N Engl J Med"},{"key":"2021010812223798300_ytaa408-B2","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.amjcard.2009.08.653","article-title":"Mechanical complications after percutaneous coronary intervention in ST-elevation myocardial infarction (from APEX-AMI)","volume":"105","author":"French","year":"2010","journal-title":"Am J 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infarction in patients presenting with ST-segment elevation: the Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology","volume":"39","author":"Ibanez","year":"2018","journal-title":"Eur Heart J"},{"key":"2021010812223798300_ytaa408-B9","doi-asserted-by":"crossref","DOI":"10.1016\/S0735-1097(15)61856-3","article-title":"Outcomes of percutaneous repair of postinfarction ventricular septal rupture in acute myocardial infarction: a meta-analysis","volume":"65","author":"De Puy","year":"2015","journal-title":"J Am Coll Cardiol"},{"key":"2021010812223798300_ytaa408-B10","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1007\/s00392-009-0758-x","article-title":"Transcatheter closure of a ventricular septal defect adjacent to a post infarction aneurysm using an atrial septal defect occluder","volume":"98","author":"Hoppe","year":"2009","journal-title":"Clin Res 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