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MINERVA CARDIOANGIOLOGICA

A Journal on Heart and Vascular Diseases


Official Journal of the Italian Society of Angiology and Vascular Pathology
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Minerva Cardioangiologica 2007 October;55(5):693-701

language: English

Transcatheter closure of postinfarction ventricular septal defects

Kaulfersch C., Daehnert I., Schuler G., Thiele H.

1 Department of Internal Medicine and Cardiology University of Leipzig Heart Center, Leipzig, Germany
2 Department of Pediatric Cardiology University of Leipzig Heart Center, Leipzig, Germany


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Postinfarction ventricular septal defect (VSD) is a rare but fatal complication after myocardial infarction. Surgery for postinfarction VSD is considered the gold standard. However, it is associated with high morbidity and mortality, patient discomfort, need of cardiopulmonary bypass, sternotomy, and skin scarring. As a consequence, less invasive interventional techniques have been developed for postinfarction VSD closure. The current review focuses on patient selection, techniques, results, potential complications and outcome of percutaneous postinfarction closure.

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