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The Snubbed Complication: Why Postinfarction Ventricular Septal Defect Management Lacks Evidence-Based Guidance in

Silvia Corona1, Yoan Lamarche2, Reda Ibrahim3

  • 1Cardiac Surgery Department, Montreal Heart Institute, Montreal, Canada; Structural Heart Valve Center and Interventional Cardiology Department, Montreal Heart Institute, Montreal, Canada.

JACC. Case Reports
|March 28, 2026
PubMed

Insights

Managing postinfarction ventricular septal defect (VSD) with cardiogenic shock and aortic stenosis is challenging. Multidisciplinary consensus is vital, as all treatment strategies carry significant risks, especially with acute tissue friability.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Interventional Cardiology

Background:

  • Postinfarction ventricular septal defect (VSD) management is complex, particularly with cardiogenic shock and severe aortic stenosis.
  • No clear clinical guidelines exist for these challenging cases.
Abstract

Keywords:
acute heart failureaortic valvemyocardial infarctionmyocardial revascularizationpercutaneous coronary interventionvalve replacementventricular septal defect

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