Percutaneous repair of post-myocardial infarction ventricular septal defect: current approaches and future
Insights
Percutaneous closure offers a minimally invasive option for post-myocardial infarction ventricular septal defects. This approach can be used for recurrent shunts or as a bridge to surgery in critical patients.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Surgery
Background:
- Post-myocardial infarction ventricular septal defect (VSD) is a severe complication of ST-elevation myocardial infarction.
- Surgical repair, the traditional treatment, has high rates of morbidity and mortality.
Abstract:
Post-myocardial infarction ventricular septal defect is a devastating complication of ST-elevation myocardial infarction. Although surgical intervention is considered the gold standard for treatment, it carries high morbidity and mortality rates. We present 2 cases that illustrate the application of percutaneous closure of a post-myocardial infarction ventricular septal defect: the first in a patient who had undergone prior surgical closure and then developed a new shunt, and the second as a bridge to definitive surgery in a critically ill patient.
