Recurrent ventricular septal defect following closure CorMatrix: A case report.

Department of Cardiovascular Medicine, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.Department of Cardiovascular Medicine, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.Department of Internal Medicine, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.Department of Cardiovascular Medicine, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.Department of Cardiothoracic Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.

Journal of cardiac surgery. 2021;(1):392-395

Abstract

Ventricular septal ruptures are an uncommon complication following acute myocardial infarction. Operative repair, utilizing a patch for closure of the defect, is the primary treatment modality to achieve hemodynamic stability. The use of an extracellular matrix derived from small intestinal submucosa as a scaffold for tissue repair is becoming increasingly common. Here, we present the case of a 58-year-old female found to have a ventricular septal rupture and posterior left ventricular aneurysm following late presentation after a myocardial infarction that required operative repair with a CorMatrix patch. Upon readmission for dyspnea and poor exercise tolerance several months later, the patch was subsequently found to have near-completely reabsorbed. There is a paucity of long-term outcomes data following the use of CorMatrix for septal defects, with rare reports of such reabsorption. Further study is required to identify the incidence and implications of such findings.

Methodological quality

Publication Type : Case Reports

Metadata