Recurrent Stroke after Percutaneous Placement of Post-Infarct Septal Occluder Device

Surgical intervention for post-infarct ventricular septal defect (VSD) is a challenging procedure due to patients’ complex preoperative conditions. While percutaneous VSD closure can be considered as an alternative surgical repair, complete of the remains difficult and associated with various procedural complications. We report rare case patient postoperative residual shunts who experienced recurrent stroke episodes, requiring repair. The patient, 71-year-old female, developed acute anterior myocardial infarction VSD. Percutaneous 14-mm Amplatzer occluder device was performed, yet incomplete. Following discharge, she multiple embolic likely stemming from VSD, which led extraction Fibrous tissue found solely attached core right ventricle side device, whilst no fibrous observed on left ventricle. has not new neurological symptoms at 18-month follow-up. Thus, it paramount keep in mind that may occur setting closure. repair removal should treatment option such case.