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Case Reports
. 2019 May;12(5):e007788.
doi: 10.1161/CIRCINTERVENTIONS.119.007788.

Postinfarction Ventricular Septal Defect Closure

Norihiko Kamioka  1 , Robert J Lederman  2 , Adam B Greenbaum  1 , Jaffar M Khan  2 , Altayyeb Yousef  1 , Patrick T Gleason  1 , Kendra J Grubb  3 , Peter C Block  1 , Bradley Leshnower  3 , Vasilis C Babaliaros  1
Affiliations
Case Reports

Postinfarction Ventricular Septal Defect Closure

Norihiko Kamioka et al. Circ Cardiovasc Interv. 2019 May.
No abstract available

Keywords: BASSINET; Cribriform; hybrid closure; post-infarct; ventricular septum defect.

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Conflict of interest statement

Conflict of interest: Dr. Babaliaros is a consultant for and received research grant support from Abbott Vascular and Edwards Lifesciences. Dr. Leshnower has served on the Speakers Bureau for Medtronic. Dr. Greenbaum is a proctor for Edwards Lifesciences and St Jude Medical. Dr. Grubb is a speaker, proctor, and advisory board member for Medtronic and Boston Scientific. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

Figure.
Figure.. Novel Concept of a Hybrid Closure of Post-Infarct VSD
A. Two Cribriform devices tethered to each other. B. Suture secured with a COR-KNOT device via subxiphoid approach. C. Commercially available devices, which are deployed through defect lumen, tend to have difficulty in apposing to the complex lesion contours, resulting in the residual gaps (yellow arrow) and incomplete expansion of the device. D. Direct non-endoluminal device placement allows the seal of the complex VSD. E. Inspect the lesion morphology using high-spatial resolution imaging and multiplanar reconstruction on cardiac CT or MRI. F. Traverse the defect through center of the VSD regardless of the shape of the VSD. G. Sandwich the complex VSD with two devices tethered each other with a polyethylene suture (blue line) and implant relatively impermeable devices. H. Compress the contracted tissue between sandwiching devices by adding anchor devices connected by sutures, if necessary during a follow-on procedure.
See this image and copyright information in PMC

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