Percutaneous closure of a poorly tolerated post-transcatheter aortic valve implantation ventricular septal defect

Ann Thorac Surg. 2014 Nov;98(5):1823-6. doi: 10.1016/j.athoracsur.2013.12.072. Epub 2014 Oct 30.

Abstract

We report the case of a 78-year-old woman with severe aortic valve stenosis that was successfully treated with transcatheter aortic valve implantation, with initial good hemodynamic results and clinical improvement of the patient. After 3 weeks, her clinical condition worsened, with progressive heart failure. Transthoracic echocardiography revealed an iatrogenic large subaortic ventricular septal defect with important left-to right shunt (Qp/Qs 3:1). The patient underwent successful transcatheter closure of the ventricular septal defect with a 14-mm Amplatzer mVSD Occluder (AGA Medical, Plymouth, MN), resulting in dramatic clinical improvement.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angiography
  • Aortic Valve Stenosis / diagnosis
  • Aortic Valve Stenosis / surgery*
  • Cardiac Catheterization / methods*
  • Echocardiography
  • Female
  • Heart Septal Defects, Ventricular / diagnosis
  • Heart Septal Defects, Ventricular / etiology
  • Heart Septal Defects, Ventricular / surgery*
  • Humans
  • Postoperative Complications
  • Reoperation
  • Septal Occluder Device*
  • Transcatheter Aortic Valve Replacement / adverse effects*