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Tomislav Mihaljevic
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Ann Thorac Surg 2005;79:701-703
© 2005 The Society of Thoracic Surgeons

Case report

Postinfarction Ventricular Septal Defect With Pseudoaneurysm Repair After Failed Percutaneous Closure

Subroto Paul, MDa, Tomislav Mihaljevic, MD*,b, Marzia Leacche, MDa,b, Michael Landzberg, MDa,b, Carolyn Y. Ho, MDa,b, Gavin J. Blake, MDa,b, John G. Byrne, MDa,b

a Department of Surgery, Boston, Massachusetts, USA
b Division of Cardiac Surgery, Department of Medicine, Division of Cardiovascular Medicine, Brigham and Women's Hospital, and Department of Cardiology, Boston Adult Congenital Heart Service, Children's Hospital, Boston, Massachusetts, USA

Accepted for publication August 28, 2003.

* Address reprint requests to Dr Mihaljevic, Brigham and Women's Hospital, Division of Cardiac Surgery, 75 Francis St, Boston, MA 02115, USA
tmihaljevic{at}partners.org

Ventricular septal defect with intramyocardial dissection of the ventricular free wall is a rare complication of myocardial infarction associated with poor prognosis. We describe a patient who developed a ventricular septal defect with intramyocardial dissection of the right ventricular free wall. Initially the patient was successfully stabilized by the placement of a percutaneous closure device. The placement of the device allowed initial hemodynamic recovery of the patient and subsequent definitive surgical repair. This case illustrates the importance of collaboration between interventional cardiologists and cardiac surgeons in the treatment of complex postinfarction ventricular septal defects.






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