Word of caution: Severe aortic valve injury linked to retrograde closure of perimembranous ventricular septal defects

Raymond N Haddad; Elie B Sawan; Zakhia Saliba

doi:10.1111/jocs.16441

Word of caution: Severe aortic valve injury linked to retrograde closure of perimembranous ventricular septal defects

J Card Surg. 2022 Jun;37(6):1753-1758. doi: 10.1111/jocs.16441. Epub 2022 Apr 2.

Authors

Raymond N Haddad¹, Elie B Sawan², Zakhia Saliba¹

Affiliations

¹ Department of Pediatric Cardiology, Hotel Dieu de France University Medical Center, Saint Joseph University, Beirut, Lebanon.
² Department of Pediatric Cardiac Surgery, Hotel Dieu de France University Medical Center, Saint Joseph University, Beirut, Lebanon.

PMID: 35366345
DOI: 10.1111/jocs.16441

Abstract

Retrograde device closure of perimembranous ventricular septal defects (pmVSDs) is an interesting procedure with several technical advantages and encouraging follow-up results. Nevertheless, aortic valve injuries may occur and require sufficient attention. Herein, we report the first two cases of severe aortic regurgitation that we have linked to the retrograde pmVSD closure with the KONAR-MF™ VSD occluder. We detail the technical aspects, comprehensively discuss procedural errors and conclude with important learning points.

Keywords: Lifetech; aortic regurgitation; device closure; device removal; ventricular septal defect.

Publication types

Case Reports

MeSH terms

Aortic Valve / surgery
Cardiac Catheterization / methods
Heart Septal Defects, Ventricular* / etiology
Heart Septal Defects, Ventricular* / surgery
Humans
Septal Occluder Device* / adverse effects
Treatment Outcome