Plug and Coil Procedure for Management of Large Postinfarct Ventricular Septal Defect.

Hussam Al Hennawi, Sergio Mellado Flores, Michael B Little, Lacy Harville, Ahmad Almomani, Muhammad Hammadah

Abstract readCase Reports

In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

Postinfarction Ventricular Septal Defect Despite Preserved Left Ventricular Function: Management Challenges and Procedural Complications.JACC. Case reports · 2026
Article

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Hussam Al HennawiDepartment of Internal Medicine, Jefferson Abington Hospital, Abington, Pennsylvania, USA.

Sergio Mellado FloresDepartment of Internal Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.

Michael B LittleDepartment of Cardiac Anesthesia, University of Texas Health San Antonio, San Antonio, Texas, USA.

Lacy HarvilleDepartment of Cardiothoracic Surgery, University of Texas Health San Antonio, San Antonio, Texas, USA.

Ahmad AlmomaniDepartment of Cardiology, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.

Muhammad HammadahDepartment of Cardiology, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA. Electronic address: hammadah@uthscsa.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute surgical mortality for postinfarction ventricular septal rupture remains alarmingly high at approximately 50%. In comparison, medical mortality is nearly 100% and likely exceeds historical levels because of the declining frequency of these acute surgeries, with many surgeons now performing fewer than 1 or 2 annually. Percutaneous device closure has become a feasible option for managing postinfarction ventricular septal defects in carefully selected patients. However, this technique may be associated with challenges such as significant residual shunting, delayed endothelialization, hemolysis, and extended hospital stays. Here, we present a novel approach using coil packing to enhance closure and reduce shunting.

Indexed as

acute myocardial infarctiondefect coilingpostinfarct ventricular septal defectresidual shuntingtranscatheter closureVSD closure

Identifiers

PMID40514114

DOI10.1016/j.jaccas.2025.103615

PMCPMC12237731

What OpenQuestion holds

Textmetadata

LicenceCC BY-NC-ND

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.