Document Detail

Surgical Repair of True Left Ventricular Aneurysm in an Infant: A Rare Complication After Unsuccessful Perventricular VSD Closure.
MedLine Citation:
PMID:  25324272     Owner:  NLM     Status:  In-Data-Review    
A 2.5-month-old female patient presented for closure of a ventricular septal defect (VSD). Transthoracic echocardiography showed a large muscular ventricular septal defect. After perventricular closure of the defect was performed with an Amplatzer muscular VSD occluder, peroperative transesophageal echocardiography revealed that the device had been implanted in the wrong area of the ventricular septum. The device was retrieved and a large mid-muscular defect with extension to the outlet septum was closed with a patch of Dacron which was secured with 5-0 sutures. A perforation in the ventricular septum due to attempted perventricular device delivery was seen, and it was repaired primarily. In the eighth month of follow-up, transthoracic echocardiography revealed an aneurysm in the posterior wall of the left ventricle. The patient's electrocardiogram showed pathological Q waves and ST-segment elevation in leads DII, DIII, and aVF consistent with subacute inferior myocardial infarction. At subsequent surgery, this was found to be a true aneurysm, located in area of distribution of the obtuse marginal branch of the left circumflex coronary artery in the posterior wall of the left ventricle. The aneurysm was closed off using a Dacron patch, and the sac was resected. Development of a true aneurysm is a rare but important complication of attempted perventricular VSD closure.
Isa Ozyilmaz; Murat Saygi; Okan Yildiz; Ersin Erek; Alper Guzeltas
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal for pediatric & congenital heart surgery     Volume:  5     ISSN:  2150-136X     ISO Abbreviation:  World J Pediatr Congenit Heart Surg     Publication Date:  2014 Oct 
Date Detail:
Created Date:  2014-10-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101518415     Medline TA:  World J Pediatr Congenit Heart Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  637-9     Citation Subset:  IM    
Copyright Information:
© The Author(s) 2014.
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