VSD Device Removal Due to Intermittent Complete Heart Block.

Authors

AbdelJalil Farhati, Rihab Ben Othman, Hela Msaad, Kaouthar Hakim, Rim Arab, Ella Lehmayer, Fatma Ouarda

Published in

JACC. Case reports. Pages 110647. Oct 13, 2026. Epub Oct 13, 2026.

Abstract

Percutaneous closure of perimembranous ventricular septal defects (pmVSDs) has markedly increased with the development of newer, softer occlusion devices.
We report a 12-year-old girl who underwent percutaneous pmVSD closure. One week later, she was admitted for paroxysmal complete heart block (CHB). She was started on intravenous corticosteroids. A percutaneous retrieval of the device was performed successfully. Sinus rhythm was maintained throughout the 8-month follow-up period.
Paroxysmal CHB is a rare but serious complication following percutaneous pmVSD closure. Its management remains challenging because of the potential for recurrence despite medical therapy. To our knowledge, percutaneous retrieval of a well-positioned ventricular septal defect occluder in this context represents the first case reported in the literature.
Selecting the optimal device for pmVSD closure is crucial to ensure procedural success and reduce the risk of complications. CHB may occur immediately, early, or late after defect closure.

PMID:
42867420
Bibliographic data and abstract were imported from PubMed on 14 Oct 2026.

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