Occlusion of ventricular septal rupture with an Amulet left appendage atrial occluder.

Abstract

Post-infarction ventricular septal rupture (VSR) is a severe complication. Surgical correction is frequently contraindicated, and percutaneous correction is the last option. However, percutaneous VSR closure is complex, due to right ventricle trabeculations, irregular edges and no easily available dedicated prosthesis. The present case report demonstrated an effective alternative VSR occlusion technique using the Amulet occluder, providing perfect VSR occlusion via a simple procedure with venous access and transeptal puncture. In contrast to dedicated VSR protheses, the Amulet occluder is easily and quickly available and thus offers an effective alternative to the surgery in emergency contexts.