ArticleJACC. Case reports2025
Innovative Use of Fusion Imaging for Percutaneous Closure of Post-Myocardial Infarction Ventricular Septal Rupture.
Article in JACC. Case reports, 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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4 authors.
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Abstract
backgroundVentricular septal rupture (VSR) post myocardial infarction (MI) is a rare, high-risk complication requiring urgent intervention. Fusion imaging (FI), integrating echocardiography and fluoroscopy, offers a novel approach for percutaneous closure in unstable patients. CASE SUMMARY: A 60-year-old man developed cardiogenic shock and basal VSR after inferior MI stent placement. Echocardiography confirmed the defect with a left-to-right shunt. Using FI, percutaneous closure with a 16-mm Amplatzer device was completed under real-time guidance. Post-procedure imaging revealed a well-seated device with minimal residual shunt. DISCUSSION: Overlaying echocardiographic imaging on fluoroscopy enhances procedural precision and can reduce radiation and procedural time. This case represents FI-guided post-MI VSR closure. TAKE-HOME MESSAGES: FI enables rapid, accurate percutaneous procedures in critically ill patients, minimizing procedural time and risks. We present our experience using FI to reduce crossing attempts and improve device deployment accuracy in a critically ill patient with VSR.
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