Skip to content
DraconiticResearch
Search Sources API
203,203 studies31 sourcesUpdated 2 min ago
Peer-reviewedCC BYJACC. Case reports

Transcatheter Closure of Apical Septal Rupture With Third Cavity Formation After Surgical Repair.

  • Saqlain Anwar1
  • Muhammad Ammar Nadeem1
  • Hritvik Jain2
  • Nadeem Sadiq3
  • Areeba Shahid4
  • Aizaz Anwar Khalid5
  • Abhishek Kumar6
  • Yasar Sattar7
7 affiliations
  1. 1Department of Internal Medicine, PNS Shifa Hospital, Karachi, Pakistan.
  2. 2Department of Internal Medicine, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA.
  3. 3Department of Pediatric Cardiology, PNS Shifa Hospital Karachi, Pakistan.
  4. 4Department of Internal Medicine, Jinnah Sindh Medical University, Karachi, Pakistan.
  5. 5Peshawar Medical College, Peshawar, Pakistan.
  6. 6Internal Medicine, Wright State University, Dayton, Ohio, USA.
  7. 7Texas 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: [email protected].
Read full textPDFDOICite

Abstract

Background

Apical 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

We 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

This 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

Transcatheter closure is a safe, effective alternative in postsurgical congenital heart defects where reoperation poses a significant risk.

Related

  1. Clinical efficacy of transcatheter arterial chemoembolization combined with surgical resection for treating spontaneous rupture of hepatocellular carcinoma
    NIU Defang, ZHENG Xu, JI Fang
    Zhongguo linchuang yanjiuPeer-reviewedCC BY-NC-NDFull textGeneral medicineDOAJ
  2. Transcatheter closure of ascending aortic pseudoaneurysm via steerable sheath assisted atrial septal occluder device delivery
    Nivedita Pant, Muzammil H. Musani
    Journal of Cardiology CasesPeer-reviewedLicence not statedFull textCardiovascular medicinePMC
  3. Complete transcatheter closure of residual aortopulmonary window in an elderly patient allowing optimization of refractory pulmonary arterial hypertension therapy.
    Yusuke Akazawa, Takashi Higaki, Osamu Yamaguchi
    European heart journal. Case reportsPeer-reviewedCC BYFull textEpidemiology & public healthEurope PMCPMC
  4. Transcatheter atrial septal defect closure in infants weighing 3 to 6 kg with clinically significant bronchopulmonary dysplasia
    Ernesto Mejia, Anne C Taylor, Martin L Bocks +1
    JTCVS Structural and EndovascularPeer-reviewedCC BY-NC-ND 4.0Full textGeneral medicinePMCEurope PMC
  5. Surgical Repair of Right Ventricular Free Wall Blow-Out Rupture
    Masayuki Nishiyama, Takayuki Okada, Takashi Nishimura +3
    Circulation JournalPeer-reviewedCC BY-NC-NDFull textSurgery & anaesthesiaJ-STAGE

Cite

BibTeXRIS
BibTeX
@article{anwar2026transcatheter,
  title = {{Transcatheter Closure of Apical Septal Rupture With Third Cavity Formation After Surgical Repair.}},
  author = {Saqlain Anwar and Muhammad Ammar Nadeem and Hritvik Jain and Nadeem Sadiq and Areeba Shahid and Aizaz Anwar Khalid and Abhishek Kumar and Yasar Sattar},
  journal = {JACC. Case reports},
  year = {2026},
  month = oct,
  doi = {10.1016/j.jaccas.2026.110217},
  url = {https://europepmc.org/article/MED/42847570},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Transcatheter Closure of Apical Septal Rupture With Third Cavity Formation After Surgical Repair.
AU  - Saqlain Anwar
AU  - Muhammad Ammar Nadeem
AU  - Hritvik Jain
AU  - Nadeem Sadiq
AU  - Areeba Shahid
AU  - Aizaz Anwar Khalid
AU  - Abhishek Kumar
AU  - Yasar Sattar
PY  - 2026
DA  - 2026/10/01
JO  - JACC. Case reports
DO  - 10.1016/j.jaccas.2026.110217
UR  - https://europepmc.org/article/MED/42847570
AB  - Background  Apical 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  We 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  This 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  Transcatheter closure is a safe, effective alternative in postsurgical congenital heart defects where reoperation poses a significant risk.
SN  - 2666-0849
ER  -