Vol. 20 No. 2 (2016)
ACQUIRED HEART DISEASES

Endovascular treatment of postinfarction ventricular septal defects

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  • D. Khelimskiy,
  • O. Krestyaninov,
  • A. Osiev,
  • A. Shermuk,
  • D. Grankin,
  • E. Kretov,
  • R. Ibragimov,
  • V. Baystrukov,
  • E. Kim,
  • A. Marchenko,
  • D. Zubarev,
  • D. Redkin,
  • I. Naryshkin,
  • R. Naydenov,
  • E. Pokushalov,
  • A. Karaskov
D. Khelimskiy
Research Institute of Circulation Pathology, Ministry of Health Care of Russian Federation, 15 Rechkunovskaya St., 630055 Novosibirsk, Russian Federation
Bio
O. Krestyaninov
Research Institute of Circulation Pathology, Ministry of Health Care of Russian Federation, 15 Rechkunovskaya St., 630055 Novosibirsk, Russian Federation
A. Osiev
Moscow Regional Research and Clinical Institute, 61/2 Shchepkina St., 129110 Moscow, Russian Federation
A. Shermuk
Research Institute of Circulation Pathology, Ministry of Health Care of Russian Federation, 15 Rechkunovskaya St., 630055 Novosibirsk, Russian Federation
D. Grankin
Research Institute of Circulation Pathology, Ministry of Health Care of Russian Federation, 15 Rechkunovskaya St., 630055 Novosibirsk, Russian Federation
E. Kretov
Research Institute of Circulation Pathology, Ministry of Health Care of Russian Federation, 15 Rechkunovskaya St., 630055 Novosibirsk, Russian Federation
R. Ibragimov
Research Institute of Circulation Pathology, Ministry of Health Care of Russian Federation, 15 Rechkunovskaya St., 630055 Novosibirsk, Russian Federation
V. Baystrukov
Research Institute of Circulation Pathology, Ministry of Health Care of Russian Federation, 15 Rechkunovskaya St., 630055 Novosibirsk, Russian Federation
E. Kim
Research Institute of Circulation Pathology, Ministry of Health Care of Russian Federation, 15 Rechkunovskaya St., 630055 Novosibirsk, Russian Federation
A. Marchenko
Research Institute of Circulation Pathology, Ministry of Health Care of Russian Federation, 15 Rechkunovskaya St., 630055 Novosibirsk, Russian Federation
D. Zubarev
Research Institute of Circulation Pathology, Ministry of Health Care of Russian Federation, 15 Rechkunovskaya St., 630055 Novosibirsk, Russian Federation
D. Redkin
Research Institute of Circulation Pathology, Ministry of Health Care of Russian Federation, 15 Rechkunovskaya St., 630055 Novosibirsk, Russian Federation
I. Naryshkin
Research Institute of Circulation Pathology, Ministry of Health Care of Russian Federation, 15 Rechkunovskaya St., 630055 Novosibirsk, Russian Federation
R. Naydenov
Research Institute of Circulation Pathology, Ministry of Health Care of Russian Federation, 15 Rechkunovskaya St., 630055 Novosibirsk, Russian Federation
E. Pokushalov
Research Institute of Circulation Pathology, Ministry of Health Care of Russian Federation, 15 Rechkunovskaya St., 630055 Novosibirsk, Russian Federation
A. Karaskov
Research Institute of Circulation Pathology, Ministry of Health Care of Russian Federation, 15 Rechkunovskaya St., 630055 Novosibirsk, Russian Federation
DOI: https://doi.org/10.21688/1681-3472-2016-2-80-86

Published 2016-08-17

Keywords

  • postinfarction ventricular septal defect,
  • occluder,
  • endovascular treatment,
  • myocardial infarction.

How to Cite

Khelimskiy, D., Krestyaninov, O., Osiev, A., Shermuk, A., Grankin, D., Kretov, E., Ibragimov, R., Baystrukov, V., Kim, E., Marchenko, A., Zubarev, D., Redkin, D., Naryshkin, I., Naydenov, R., Pokushalov, E., & Karaskov, A. (2016). Endovascular treatment of postinfarction ventricular septal defects. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 20(2), 80–86. https://doi.org/10.21688/1681-3472-2016-2-80-86

Copyright (c) 2016 Khelimskiy D.A., Krestyaninov O.V., Osiev A.G., Shermuk A.A., Grankin D.S., Kretov E.I., Ibragimov R.Y., Baystrukov V.I., Kim E.M., Marchenko A.V., Zubarev D.D., Redkin D.A., Naryshkin I.A., Naydenov R.A., Pokushalov E.A., Karaskov A.M.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Aim: The study was designed to evaluate the possibility and safety of transcatheter closure of postinfarction ventricular septal defects in different periods after acute myocardial infarction.
Methods: Over a period from 2010 to 2015 15 patients (11 females and 4 males) underwent transcatheter closure of postinfarction ventricular septal defects. The time from the onset of infarction to the intervention varied between 1 day and 6 months (mean 10.9 weeks). Three patients were treated in an acute phase of infarction (two weeks or less). The defect size ranged 7-24 mm (mean 13.5 mm), while the implanted devices sized 12-34 mm (mean 22.8 mm). The procedure and screening time amounted to 67-170 (mean 115.3) and 14-78 (mean 32.5) minutes respectively.
Results: A successful device implantation occurred in all but one patient whose occluder was dislodged. This patient later underwent successful surgical VSD closure. Occluder implantation failed to improve the clinical status of two patients in a critical condition. They developed multiple organ failure and died at 2 and 9 days after the procedure.
Conclusion: Transcatheter closure of postinfarction ventricular septal defects may be an alternative to surgery in patients with suitable anatomy and multiple comorbidities. However, in-hospital mortality remains high, even after successful occluder implantation.

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