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European Journal of Echocardiography Advance Access originally published online on February 27, 2009
European Journal of Echocardiography 2009 10(4):569-571; doi:10.1093/ejechocard/jep021
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Percutaneous closure of a post-myocardial infarction ventricular septal defect guided by real-time three-dimensional echocardiography

Dan G. Halpern1, Gila Perk1,*, Carlos Ruiz2, Nino Marino2 and Itzhak Kronzon1

1 Non Invasive Cardiology Laboratory, The Leon H. Charney Division of Cardiology, NYU School of Medicine, 560 First Avenue, TH-2, HW-228, New York, NY 10016, USA
2 Interventional Cardiology Department, Lenox Hill Heart and Vascular Institute, New York, NY 10021, USA

Received 19 December 2008; accepted after revision 10 February 2009; online publish-ahead-of-print 27 February 2009.

* Corresponding author. Tel: +1 212 263 5665; fax: +1 212 263 8461. E-mail address: gila.perk{at}nyumc.org


  Abstract

We present an adult patient who had an acute myocardial infarction complicated by a ventricular septal defect and had it repaired percutaneously. Real-time three-dimensional echocardiography (RT3D) before and during the closure procedure were performed. RT3D provided anatomical and functional information of the defect as well as real-time guidance during the procedure. This case highlights the utility of three-dimensional echocardiography in guiding transcatheter procedures.

Keywords: Ventricular septal defect; Ventricular septal rupture; Echocardiography; Three-dimensional echocardiography; Percutaneous VSD closure


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