Archives of the Turkish Society of Cardiology
Percutaneous closure of an iatrogenic ventricular septal defect associated with transcatheter aortic valve implantation [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2022; 50(1): 70-78 | DOI: 10.5543/tkda.2022.21093

Percutaneous closure of an iatrogenic ventricular septal defect associated with transcatheter aortic valve implantation

Göktuğ Savaş1, Selçuk Yazıcı1, Özgür Kılıç2, Sait Terzi1
1Department of Cardiology, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
2Department of Coronary Care Unit, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey

An 81-year-old man who had dyspnea was admitted to our hospital with a diagnosis of severe aortic stenosis. A transcatheter aortic valve implantation was successfully performed with a 29 mm Edwards Sapien XT valve using a transfemoral access. After the procedure, the
echocardiography showed a restrictive ventricular septal defect (VSD) in the membranous septum. As the patient had no symptoms, it was decided to follow him up conservatively. However, he was readmitted within three weeks with symptoms suggestive of biventricular failure. A control echocardiography revealed a membranous VSD, 8 mm in size, right chambers dilatation with moderate tricuspid
regurgitation, and systolic pulmonary artery pressure of 60 mm Hg. The previously deployed aortic valve was normal in function. The decision to perform a percutaneous VSD closure was made. The defect was then closed with a 10 mm muscular VSD occluder. During and after the procedure, there was no dysfunction in the bioprosthetic aortic valve. At the one-year follow-up, the patient was still asymptomatic.

Keywords: Iatrogenic disease, ventricular septal defect, transcatheter aortic valve replacement









How to cite this article
Göktuğ Savaş, Selçuk Yazıcı, Özgür Kılıç, Sait Terzi. Percutaneous closure of an iatrogenic ventricular septal defect associated with transcatheter aortic valve implantation. Turk Kardiyol Dern Ars. 2022; 50(1): 70-78

Corresponding Author: Göktuğ Savaş, Türkiye
Manuscript Language: English
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