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Ann Thorac Surg 2010;89:e48-e50. doi:10.1016/j.athoracsur.2010.03.081
© 2010 The Society of Thoracic Surgeons
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Michael S. Lee
Matthew Williams
Andrew J. Lodge
Donald D. Glower
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Right arrow Myocardial infarction

Case Reports

Intraoperative Device Closure of Postinfarction Ventricular Septal Defects

Michael S. Lee, MD*,a, Rebecca Kozitza, BA*,a, Daniel Mudrick, MD, MPHa, Matthew Williams, MDb, Andrew J. Lodge, MDb, J. Kevin Harrison, MDa, Donald D. Glower, MD*,b,*

a Department of Medicine, Duke University Medical Center, Durham, North Carolina
b Department of Surgery, Duke University Medical Center, Durham, North Carolina

Accepted for publication March 22, 2010.

* Address correspondence to Dr Glower, Duke University Medical Center, Box 3851, Durham, NC 27710 (Email: glowe001{at}mc.duke.edu).

Postinfarction ventricular septal defects (VSDs) are associated with high mortality and typically these are treated urgently with surgery for exclusion patch repair. Percutaneous closure of postinfarction VSDs using occlusion devices is feasible in some patients, but in some cases device deployment may not be possible due to VSD anatomy or valvular apparatus interference. We report the novel technique of deploying Amplatzer VSD devices in the operating room under direct vision through a right atriotomy with and without aortotomy in 2 patients with large inferobasal VSDs after myocardial infarction.






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