Evidence map›Paper›PMID 40304937›Full record

ArticleThe Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology2025

Transjugular approach percutaneous closure: a preferred solution for challenging surgical management of ventricular septal rupture.

Hendri Susilo, Emil Prabowo, Roy Bagus Kurniawan, Dian Paramita Kartikasari, Aditha Satria Maulana, Yudi Her Oktaviono

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Article in The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Hendri SusiloDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia. hendrisusilo@staf.unair.ac.id.
Emil PrabowoDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Roy Bagus KurniawanFaculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Dian Paramita KartikasariDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Aditha Satria MaulanaDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Jember, Dr. Soebandi General Hospital, Jember, Indonesia.
Yudi Her OktavionoDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVentricular septal rupture (VSR) is a rare but life-threatening complication following myocardial infarction (MI). While traditional management typically involves surgical repair, percutaneous closure techniques are increasingly being considered, particularly in cases where surgery is challenging or patients are high risk. CASE PRESENTATION: We present the case of a 62-year-old male with anterior ST-segment elevation MI, complicated by a large VSR. Transthoracic echocardiography (TTE) revealed an 11.8-mm VSR, hypokinetic anteroseptal and anterior walls, and an ejection fraction of 52%. Surgical repair was considered high risk due to the patient's advanced age, hypertension, anterior MI and apical VSR. Consequently, the heart team opted for a transjugular percutaneous closure approach. A 20-mm ASD occluder device was successfully deployed across the defect, as confirmed by cineangiography. Post-procedure, the patient showed clinical improvement, with resolution of the murmur and stabilization of hemodynamics. Follow-up TTE demonstrated proper occluder placement with minimal residual shunt.

conclusionsThis case highlights the feasibility and effectiveness of transjugular percutaneous closure for managing complex VSR post-MI, especially in patients unsuitable for surgical repair.

Indexed as

Failed thrombolyticPercutaneous closureRescue PCITransjugular approachVentricular septal rupture

Identifiers

PMID40304937
PMCPMC12044140

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