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February 21, 2026JACC Case Reports0 citationsOpen Access

Iatrogenic VSD, Closure Attempt With Complications, and Ultimate Success

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JSJakob SchroderMMMaarja MaserLCLaurence Campens

Key Result

Percutaneous device closure guided by intracardiac echocardiography is preferred for iatrogenic VSD post-SAVR but may rarely cause complications.

Key Points

  • To explore the outcomes of percutaneous device closure for rare postoperative VSD following SAVR, particularly focusing on complications.
  • Analyzed cases of postoperative VSD after SAVR.
  • Evaluated the use of percutaneous device closure.
  • Assessed complications related to intracardiac echocardiographic guidance.
  • Identified prolonged recovery and heart failure symptoms associated with postoperative VSD.
  • Demonstrated that percutaneous device closure is a viable treatment but not without risks.
  • Noted that intracardiac echocardiographic guidance can occasionally lead to complications.

Structured PICO

P
Population
Patients with rare postoperative ventricular septal defect (VSD) after surgical aortic valve replacement (SAVR)
I
Intervention
Percutaneous device closure using intracardiac echocardiographic guidance

Percutaneous device closure with intracardiac echocardiography is an effective treatment for post-SAVR VSD, though rare complications can occur.

Abstract

Rare postoperative VSD after SAVR is a potential cause of prolonged recovery and heart failure symptoms. The preferred treatment alternative is percutaneous device closure. Use of intracardiac echocardiographic guidance generally increases safety but may rarely cause complications.

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Cite This Study

Schroder et al. (2026) studied this question. Percutaneous device closure guided by intracardiac echocardiography is preferred for iatrogenic VSD post-SAVR but may rarely cause complications.

synapsesocial.com/papers/69994b88873532290d01facbhttps://doi.org/10.1016/j.jaccas.2025.106564
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