The Heart Surgery Forum (HSF) is published by IMR Press from Volume 28 Issue 8 (2025). Previous articles were published by another publisher under the CC-BY-NC licence, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement.
Minimally Invasive Device Closure of Traumatic VSR Using PDA Occluder: A Case Report and Review of the Literature
, Xian Luo 2, Qianhua Dong 3, Bo Xiang 4, Tao Yu 4, Shengkun Peng 5, Mingliang Zuo 3, Mao Chen 1,*
1 Department of Cardiology, West China Hospital of Sichuan University, 610041 Chengdu, Sichuan, China
2 College of Medicine and Life Sciences, Chengdu University of Traditional Chinese Medicine, 610075 Chengdu, Sichuan, China
3 Ultrasound in Cardiac Electrophysiology and Biomechanics Key Laboratory of Sichuan Province, Sichuan Provincial People’s Hospital, Affiliated Hospital of University of Electronic Science and Technology, 610072 Chengdu, Sichuan, China
4 Department of Cardiac Surgery, Sichuan Provincial People’s Hospital, Affiliated Hospital of University of Electronic Science and Technology, 610072 Chengdu, Sichuan, China
5 Radiology Department, Sichuan Provincial People’s Hospital, Affiliated Hospital of University of Electronic Science and Technology, 610072 Chengdu, Sichuan, China
*Correspondence: chenmao@scu.edu.cn (Mao Chen)
Abstract
Background: Acute ventricular septal rupture (VSR) following blunt chest trauma is a rare but life-threatening complication. Early surgical repair is challenging due to fragile myocardial tissue, and delayed surgery improves survival. Case Presentation: A 15-year-old male in cardiogenic shock after chest trauma was managed with off-label closure of traumatic VSR using a patent ductus arteriosus (PDA) occluder, the procedure stabilized hemodynamics and allowed delayed surgical repair. Conclusions: Minimally invasive VSR closure using a PDA occluder may serve as a temporary, life-saving measure in emergencycases. Further research is required to evaluate the safety, efficacy, and long-term outcomes of this approach.
Keywords
- traumatic ventricular septal rupture
- transesophageal echocardiography
- patent ductus arteriosus occluder
- case report