ArticleJACC. Case reports2025
Endoscopic Closure of Iatrogenic Ventricular Septal Defect After 2 Previous Aortic Valve Replacements.
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.
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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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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.
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Who cites it
1 citing paper in PubMed.
- Delayed Repair of an Iatrogenic Perimembranous VSD After Redo Aortic Valve Replacement: Timing Over Urgency.JACC. Case reports · 2026Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA 79-year-old male patient previously had undergone 2 aortic valve replacements via median sternotomy. CASE SUMMARY: He presented with progressive shortness of breath shortly after the second procedure. This led to the identification of an iatrogenic perimembranous ventricular septal defect on a transthoracic echocardiogram. A heart team discussion concluded that the defect was not amenable for percutaneous closure. An endoscopic minimally invasive surgical closure was performed, and the patient had a quick recovery. DISCUSSION: To the best of our knowledge, this is the first case of an iatrogenic ventricular septal defect closure via an endoscopic approach. This highlights the feasibility of using this approach in complex redo cardiac conditions to avoid further sternotomies. TAKE-HOME MESSAGE: Heart teams should consider an endoscopic approach with complex cases specifically if there is no interventional option available.
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