Keywords
acute myocardial infarction
ventricular septal rupture
surgical repair ventricular septal rupture
How to Cite
Abstract
Ventricular septal rupture is a rare but highly lethal mechanical complication of
acute myocardial infarction. The gold-standard treatment is surgical repair; with
conservative treatment, 90% mortality is estimated in the following two months. We
present the case of an 81-year-old patient with post-infarction SVR who underwent
angioplasty and was later admitted to the intensive care unit to assess hemodynamics
to prepare him for delayed closure. Surgical repair of the defect was performed 21
days later, and the patient was discharged to the cardiovascular intensive care unit
with adequate postoperative evolution.
References
David TE. Post-infarction ventricular septal rupture. Ann Cardiothorac Surg 2022;11(3):261-267.
Shahreyar M, Akinseye O, Nayyar M, Ashraf U, Ibebuogu U, Postmyocardial infarction ventricular septal defect: A comprehensive review, Cardiovascular Revascularization Medicine. 2020; 21:1444-1449.
Elbadawi A, Elgendy IY, Mahmoud K, Barakat A, Mentias A, Mohamed A, et al. Temporal Trends and Outcomes of Mechanical Complications in Patients With Acute Myocardial Infarction. JACC Cardiovasc Interv 2019;12:1825-36.
Goyal A, Menon V. Contemporary Management of Post-MI Ventricular Septal Septal Rupture, American College of Cardiology. 2018.
Damluji A, van Diep S, Katz J, Menon V, Tamis-Holland J, Bakitas M, et al, Mechanical Complications of Acute Myocardial Infarction. A Scientific Statement From the American Heart Association. Circulation. 2021;144:e16-e35.
Khazi FM, Al-Safadi F, Karaly Y, Siddiqui NR, Al-Zamkan B, Aljassim O. Management issues during postinfarction ventricular septal defect and role of perioperative optimization: A case series. Ann Card Anaesth 2019;22:30-4.
Arnaoutakis GJ, Zhao Y, George TJ, Sciortino CM, McCarthy PM, Conte JV. Surgical repair of ventricular septal defect after myocardial infarction:outcomes from the Society of Thoracic Surgeons National Database. AnnThorac Surg 2012;94:436-43.
Jones BM, Kapadia SR, Smedira NG, Robich M, Tuzcu EM, Menon V, et al. Clinical update Ventricular septal rupture complicating acute myocardial infarction: a contemporary review. Eur Heart J. 2014;35:2060-8.
Ronco D, Matteucci M, Kowalewski M, De Bonis M, Formica F, Jiritano F, et al. Surgical Treatment of Postinfarction Ventricular Septal Septal Rupture. JAMA Netw Open. 2021;4(10):e2128309.