Postinfarction Ventricular Septal Defects: Towards a New Treatment Algorithm?  Simon Maltais, MD, MS, Reda Ibrahim, MD, Arsène-Joseph Basmadjian, MD, Michel.

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Postinfarction Ventricular Septal Defects: Towards a New Treatment Algorithm?  Simon Maltais, MD, MS, Reda Ibrahim, MD, Arsène-Joseph Basmadjian, MD, Michel Carrier, MD, Denis Bouchard, MD, Raymond Cartier, MD, Philippe Demers, MD, Martin Ladouceur, MS, Michel Pellerin, MD, Louis P. Perrault, MD, PhD  The Annals of Thoracic Surgery  Volume 87, Issue 3, Pages 687-692 (March 2009) DOI: 10.1016/j.athoracsur.2008.11.052 Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Percutaneous closure of a septal rupture with the catheter-based ventricular septal Amplatzer device. This figure shows how percutaneous closure could be an alternative or a bridge to surgical repair in selected patients. The Annals of Thoracic Surgery 2009 87, 687-692DOI: (10.1016/j.athoracsur.2008.11.052) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Proposed algorithm to treat postinfarction ventricular septal defects (VSDs). We propose a new multidisciplinary algorithm where acute small or medium VSD could be treated initially with a ventricular septal occluder. (CABG = coronary artery bypass graft; MI = myocardial infarction; PCI = percutaneous coronary intervention; TTE = transthoracic echocardiography.) The Annals of Thoracic Surgery 2009 87, 687-692DOI: (10.1016/j.athoracsur.2008.11.052) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions