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Ann Thorac Surg 2002;74:582-584
© 2002 The Society of Thoracic Surgeons

Case report

Transcatheter closure of traumatic ventricular septal defect: an alternative to surgical repair?

Alain Fraisse, MD*a, Jean-François Piéchaud, MDa, Jean-François Aviérinos, MDa, Françoise Aubert, MDb, Christian Colavolpe, MDc, Gilbert Habib, MDa, Jean-Louis Bonnet, MDa

a Service de Cardiologie, Hôpital de la Timone, Marseille France
c Service de Réanimation Polyvalente, Hôpital de la Timone, Marseille France
b Service de Chirurgie Thoracique et Cardiovasculaire, Hôpital d’enfants de la Timone, Marseille; and Institut Hôspitalier Jacques Cartier, Massy, France

Accepted for publication March 14, 2002.

* Address reprint requests to Dr Fraisse, Service de Cardiologie A, Hôpital de la Timone, 264 rue St Pierre, 13005 Marseille, France
e-mail: afraisse{at}mail.ap-hm.fr

A 19-year-old man with multiple-system injuries including a serious head injury and two poorly tolerated traumatic ventricular septal defects, was admitted to our hospital. Transcatheter closure of the cardiac defects was attempted instead of surgical repair because the required anticoagulation for cardiopulmonary bypass could precipitate intracranial bleeding. The two ventricular septal defects were successfully closed with Amplatzer devices, but the patient remained in hemodynamically unstable condition and subsequently died. Transcatheter closure of traumatic ventricular septal defect is an alternative to surgical repair, although it remains a hazardous procedure and requires experienced anesthesia management.






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