Transcatheter closure of a postinfarction ventricular septal rupture.

An 84-year-old woman with cardiomyopathy secondary to severe atherosclerotic coronary artery disease presented with biventricular heart failure. She was admitted to the hospital after a non-S-T elevation myocardial infarction 5 days earlier that led to progressive congestive heart failure. A transthoracic echocardiogram revealed an apical ventricular septal defect with bidirectional shunting and pulmonary hypertension. Cardiovascular operation was declined; therefore, a post-infarction ventricular septal defect occluder device was placed across the ventricular septal defect leaving only a tiny residual shunt. The patient had symptomatic improvement after the procedure and had no complications related to the procedure.