MedElevator
Войти в исследования JACC. Case reports · 2026
Iatrogenic VSD, Closure Attempt With Complications, and Ultimate Success.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Schroder Jakob, Vejlstrup Niels, Campens Laurence, Schmidt Michael Rahbek
Аннотация
BACKGROUND: Iatrogenic postsurgical ventricular septal defect (VSD) is a rare complication of surgical aortic valve replacement (SAVR).
CASE SUMMARY: A patient presented with left-sided heart failure due to an initially missed postoperative VSD after redo SAVR. A moderate shunt in the perimembranous area was discovered. During the initial closure attempt, an intracardiac echocardiography catheter caused dislodgment of a ventricular pacing lead. A later closure attempt was successful with a discrete residual defect and improved patient status.
DISCUSSION: Postsurgical VSD is considered exceedingly rare after SAVR and presents a therapeutic challenge because of patient frailty during postsurgical recovery. Key device closure considerations include defect geometry, rim sufficiency, and avoidance of oversizing.
TAKE-HOME MESSAGES: Rare postoperative VSD after SAVR is a potential cause of prolonged recovery and heart failure symptoms. The preferred treatment alternative is percutaneous device closure. Use of intracardiac echocardiographic guidance generally increases safety but may rarely cause complications.
CASE SUMMARY: A patient presented with left-sided heart failure due to an initially missed postoperative VSD after redo SAVR. A moderate shunt in the perimembranous area was discovered. During the initial closure attempt, an intracardiac echocardiography catheter caused dislodgment of a ventricular pacing lead. A later closure attempt was successful with a discrete residual defect and improved patient status.
DISCUSSION: Postsurgical VSD is considered exceedingly rare after SAVR and presents a therapeutic challenge because of patient frailty during postsurgical recovery. Key device closure considerations include defect geometry, rim sufficiency, and avoidance of oversizing.
TAKE-HOME MESSAGES: Rare postoperative VSD after SAVR is a potential cause of prolonged recovery and heart failure symptoms. The preferred treatment alternative is percutaneous device closure. Use of intracardiac echocardiographic guidance generally increases safety but may rarely cause complications.