Document Type
Report
Publication Date
6-11-2025
Abstract
Acute surgical mortality for postinfarction ventricular septal rupture remains alarmingly high at approximately 50%. In comparison, medical mortality is nearly 100% and likely exceeds historical levels because of the declining frequency of these acute surgeries, with many surgeons now performing fewer than 1 or 2 annually. Percutaneous device closure has become a feasible option for managing postinfarction ventricular septal defects in carefully selected patients. However, this technique may be associated with challenges such as significant residual shunting, delayed endothelialization, hemolysis, and extended hospital stays. Here, we present a novel approach using coil packing to enhance closure and reduce shunting.
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Recommended Citation
Al Hennawi, Hussam; Flores, Sergio; Little, Michael; Harville, Lacy; Almomani, Ahmad; and Hammadah, Muhammad, "Plug and Coil Procedure for Management of Large Postinfarct Ventricular Septal Defect" (2025). Abington Jefferson Health Papers. Paper 126.
https://jdc.jefferson.edu/abingtonfp/126
PubMed ID
40514114
Language
English
Included in
Cardiology Commons, Cardiovascular Diseases Commons, Surgical Procedures, Operative Commons
Comments
This article is the author's final published version in JACC: Case Reports, Volume 30, Issue 14, June 2025, Article number 103615.
The published version is available at https://doi.org/10.1016/j.jaccas.2025.103615.
Copyright © 2025 The Authors