An Unusual Complication of the Ventricular Septal Defect Closure by Device: Late Right Aortic Cusp Perforation
Aortic regurgitation (AR) is a rare complication of transcatheter closure of perimembranous ventricular septal defects (pmVSD). It results from iatrogenic pinching of the aortic valve by the VSD occluder or perforation by the catheter. It is usually detected during control echocardiography (ECHO). T...
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Veröffentlicht in: | Heart, lung & circulation lung & circulation, 2015-07, Vol.24 (7), p.e118-e121 |
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creator | Topcuoglu, M. Sah Atalay, Atakan Gocen, Ugur Guzel, Yasin Basturk, Yuksel Demir, Fadli |
description | Aortic regurgitation (AR) is a rare complication of transcatheter closure of perimembranous ventricular septal defects (pmVSD). It results from iatrogenic pinching of the aortic valve by the VSD occluder or perforation by the catheter. It is usually detected during control echocardiography (ECHO). The current study reports the first case of a late AR, which resulted from late right coronary cusp perforation by the VSD occluder. The current manuscript discusses the possible causes of late cusp erosion due to occluder, advantages of early operation in such cases, and an alternative treatment method where the occluder removal is not possible at the operation. |
doi_str_mv | 10.1016/j.hlc.2014.11.010 |
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Sah ; Atalay, Atakan ; Gocen, Ugur ; Guzel, Yasin ; Basturk, Yuksel ; Demir, Fadli</creator><creatorcontrib>Topcuoglu, M. Sah ; Atalay, Atakan ; Gocen, Ugur ; Guzel, Yasin ; Basturk, Yuksel ; Demir, Fadli</creatorcontrib><description>Aortic regurgitation (AR) is a rare complication of transcatheter closure of perimembranous ventricular septal defects (pmVSD). It results from iatrogenic pinching of the aortic valve by the VSD occluder or perforation by the catheter. It is usually detected during control echocardiography (ECHO). The current study reports the first case of a late AR, which resulted from late right coronary cusp perforation by the VSD occluder. The current manuscript discusses the possible causes of late cusp erosion due to occluder, advantages of early operation in such cases, and an alternative treatment method where the occluder removal is not possible at the operation.</description><identifier>ISSN: 1443-9506</identifier><identifier>EISSN: 1444-2892</identifier><identifier>DOI: 10.1016/j.hlc.2014.11.010</identifier><identifier>PMID: 25937396</identifier><language>eng</language><publisher>Australia: Elsevier B.V</publisher><subject>Aortic regurgitation ; Aortic valve ; Aortic Valve - diagnostic imaging ; Aortic Valve - injuries ; Aortic Valve Insufficiency - diagnostic imaging ; Aortic Valve Insufficiency - etiology ; Aortic Valve Insufficiency - surgery ; Cardiac Catheterization - adverse effects ; Cardiovascular ; Child ; Heart Septal Defects, Ventricular - diagnostic imaging ; Heart Septal Defects, Ventricular - surgery ; Humans ; Male ; Occluder ; Transcatheter closure ; Ultrasonography ; Ventricular septal defect</subject><ispartof>Heart, lung & circulation, 2015-07, Vol.24 (7), p.e118-e121</ispartof><rights>2015</rights><rights>Copyright © 2015. Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c478t-a647bf14a05be95fcbf09920fcbee31a9e184e8eff38a9f0a3ea34a4e21e01433</citedby><cites>FETCH-LOGICAL-c478t-a647bf14a05be95fcbf09920fcbee31a9e184e8eff38a9f0a3ea34a4e21e01433</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.hlc.2014.11.010$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25937396$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Topcuoglu, M. Sah</creatorcontrib><creatorcontrib>Atalay, Atakan</creatorcontrib><creatorcontrib>Gocen, Ugur</creatorcontrib><creatorcontrib>Guzel, Yasin</creatorcontrib><creatorcontrib>Basturk, Yuksel</creatorcontrib><creatorcontrib>Demir, Fadli</creatorcontrib><title>An Unusual Complication of the Ventricular Septal Defect Closure by Device: Late Right Aortic Cusp Perforation</title><title>Heart, lung & circulation</title><addtitle>Heart Lung Circ</addtitle><description>Aortic regurgitation (AR) is a rare complication of transcatheter closure of perimembranous ventricular septal defects (pmVSD). It results from iatrogenic pinching of the aortic valve by the VSD occluder or perforation by the catheter. It is usually detected during control echocardiography (ECHO). The current study reports the first case of a late AR, which resulted from late right coronary cusp perforation by the VSD occluder. The current manuscript discusses the possible causes of late cusp erosion due to occluder, advantages of early operation in such cases, and an alternative treatment method where the occluder removal is not possible at the operation.</description><subject>Aortic regurgitation</subject><subject>Aortic valve</subject><subject>Aortic Valve - diagnostic imaging</subject><subject>Aortic Valve - injuries</subject><subject>Aortic Valve Insufficiency - diagnostic imaging</subject><subject>Aortic Valve Insufficiency - etiology</subject><subject>Aortic Valve Insufficiency - surgery</subject><subject>Cardiac Catheterization - adverse effects</subject><subject>Cardiovascular</subject><subject>Child</subject><subject>Heart Septal Defects, Ventricular - diagnostic imaging</subject><subject>Heart Septal Defects, Ventricular - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Occluder</subject><subject>Transcatheter closure</subject><subject>Ultrasonography</subject><subject>Ventricular septal defect</subject><issn>1443-9506</issn><issn>1444-2892</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9v1DAQxSMEoqXwAbggH7kk9cTOH4OEtApQkFYCUcrVcrxj1os3Tm2n0n57vN3CgQOnGY3ee9L8XlG8BFoBhfZyV22drmoKvAKoKNBHxTlwzsu6F_Xj-52VoqHtWfEsxh2l0HEmnhZndSNYx0R7XkyridxMS1yUI4Pfz85qlayfiDckbZH8wCkFqxenArnGOWXZezSoExmcj0tAMh7y5c5qfEPWKiH5Zn9uE1n5kKwmwxJn8hWD8eE-9nnxxCgX8cXDvChuPn74Pnwq11-uPg-rdal516dStbwbDXBFmxFFY_RoqBA1zQsiAyUQeo49GsN6JQxVDBXjimMNmGkwdlG8PuXOwd8uGJPc26jROTWhX6KEthcMgNImS-Ek1cHHGNDIOdi9CgcJVB4xy53MmOURswSQGXP2vHqIX8Y9bv46_nDNgrcnAeYn7ywGGbXFSePGhgxPbrz9b_y7f9za2Sk3437hAePOL2HK9CTIWEsqr489H2sGTmnXsZr9BsutowY</recordid><startdate>20150701</startdate><enddate>20150701</enddate><creator>Topcuoglu, M. 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Sah ; Atalay, Atakan ; Gocen, Ugur ; Guzel, Yasin ; Basturk, Yuksel ; Demir, Fadli</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c478t-a647bf14a05be95fcbf09920fcbee31a9e184e8eff38a9f0a3ea34a4e21e01433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aortic regurgitation</topic><topic>Aortic valve</topic><topic>Aortic Valve - diagnostic imaging</topic><topic>Aortic Valve - injuries</topic><topic>Aortic Valve Insufficiency - diagnostic imaging</topic><topic>Aortic Valve Insufficiency - etiology</topic><topic>Aortic Valve Insufficiency - surgery</topic><topic>Cardiac Catheterization - adverse effects</topic><topic>Cardiovascular</topic><topic>Child</topic><topic>Heart Septal Defects, Ventricular - diagnostic imaging</topic><topic>Heart Septal Defects, Ventricular - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Occluder</topic><topic>Transcatheter closure</topic><topic>Ultrasonography</topic><topic>Ventricular septal defect</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Topcuoglu, M. Sah</creatorcontrib><creatorcontrib>Atalay, Atakan</creatorcontrib><creatorcontrib>Gocen, Ugur</creatorcontrib><creatorcontrib>Guzel, Yasin</creatorcontrib><creatorcontrib>Basturk, Yuksel</creatorcontrib><creatorcontrib>Demir, Fadli</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Heart, lung & circulation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Topcuoglu, M. 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The current study reports the first case of a late AR, which resulted from late right coronary cusp perforation by the VSD occluder. The current manuscript discusses the possible causes of late cusp erosion due to occluder, advantages of early operation in such cases, and an alternative treatment method where the occluder removal is not possible at the operation.</abstract><cop>Australia</cop><pub>Elsevier B.V</pub><pmid>25937396</pmid><doi>10.1016/j.hlc.2014.11.010</doi></addata></record> |
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subjects | Aortic regurgitation Aortic valve Aortic Valve - diagnostic imaging Aortic Valve - injuries Aortic Valve Insufficiency - diagnostic imaging Aortic Valve Insufficiency - etiology Aortic Valve Insufficiency - surgery Cardiac Catheterization - adverse effects Cardiovascular Child Heart Septal Defects, Ventricular - diagnostic imaging Heart Septal Defects, Ventricular - surgery Humans Male Occluder Transcatheter closure Ultrasonography Ventricular septal defect |
title | An Unusual Complication of the Ventricular Septal Defect Closure by Device: Late Right Aortic Cusp Perforation |
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