{
  "abstract": "Background\n\nApical septal rupture following surgical closure of a ventricular septal defect is a rare but life-threatening complication. Reoperation in such cases may be high risk, making transcatheter closure a viable and less invasive alternative.Case summary\n\nWe report an 8-month-old male infant who presented with cardiac failure with Ross class-III and severe respiratory distress. Clinical examination and imaging revealed an apical septal tear with formation of a third cavity extending toward the right ventricle and compromising right ventricular and left ventricular function. The patient underwent successful percutaneous device closure of the defect with complete recovery and no complications.Discussion\n\nThis case highlights the safety and efficacy of transcatheter closure in complex postsurgical ventricular septal defects. The minimally invasive nature of this approach makes it preferable in high-risk surgical candidates. Further studies are warranted to standardize outcomes for such interventions.Take-home message\n\nTranscatheter closure is a safe, effective alternative in postsurgical congenital heart defects where reoperation poses a significant risk.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Internal Medicine, PNS Shifa Hospital, Karachi, Pakistan.",
    "Department of Internal Medicine, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA.",
    "Department of Pediatric Cardiology, PNS Shifa Hospital Karachi, Pakistan.",
    "Department of Internal Medicine, Jinnah Sindh Medical University, Karachi, Pakistan.",
    "Peshawar Medical College, Peshawar, Pakistan.",
    "Internal Medicine, Wright State University, Dayton, Ohio, USA.",
    "Texas Tech University, Texas, USA; West Virginia University, Camden Clark Medical Center, Parkersburg, West Virginia, USA; Interventional and Endovascular Cardiologist, Appalachian Regional Hospital, Beckley, West Virginia, USA. Electronic address: mdyasarsattar@gmail.com."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 8,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Saqlain Anwar",
      "orcid": "0009-0006-9707-9588"
    },
    {
      "affs": [
        0
      ],
      "name": "Muhammad Ammar Nadeem"
    },
    {
      "affs": [
        1
      ],
      "name": "Hritvik Jain"
    },
    {
      "affs": [
        2
      ],
      "name": "Nadeem Sadiq"
    },
    {
      "affs": [
        3
      ],
      "name": "Areeba Shahid"
    },
    {
      "affs": [
        4
      ],
      "name": "Aizaz Anwar Khalid"
    },
    {
      "affs": [
        5
      ],
      "name": "Abhishek Kumar"
    },
    {
      "affs": [
        6
      ],
      "name": "Yasar Sattar",
      "orcid": "0000-0002-1304-5748"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/a3p4vsyfxp5jw.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jaccas.2026.110217",
  "fulltext_url": "https://europepmc.org/articles/PMC13669887",
  "id": "a3p4vsyfxp5jw",
  "issns": [
    "2666-0849"
  ],
  "landing_url": "https://europepmc.org/article/MED/42847570",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2746|Cardiac Structural Anomalies and Repair"
    ]
  ],
  "openalex": "W7220848407",
  "pdf_url": "https://europepmc.org/articles/PMC13669887?pdf=render",
  "pmcid": "PMC13669887",
  "pmid": "42847570",
  "published": "2026-10-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/a3p4vsyfxp5jw.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:18:10Z",
      "native_id": "MED:42847570",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42847570"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Cardiac Structural Anomalies and Repair",
      "subfield": "surgery"
    }
  ],
  "title": "Transcatheter Closure of Apical Septal Rupture With Third Cavity Formation After Surgical Repair.",
  "title_text": "Transcatheter Closure of Apical Septal Rupture With Third Cavity Formation After Surgical Repair.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:18:10Z",
  "url": "https://research.draconitic.com/paper/a3p4vsyfxp5jw",
  "venue": "JACC. Case reports",
  "versions": []
}