Device closure of postmyocardial infarction ventricular septal rupture – Winning the battle but losing the war!

Abstract

Ventricular septal rupture (VSR) after acute myocardial infarction is rare and associated with high mortality despite surgical repair. Percutaneous transcatheter device closure has emerged as an alternative to surgical repair in high-risk patients or as a bridge to delayed surgical repair. Not only the timing but also the morphology of defect matters, and in patients with serpiginous ventricular septal defect, device deployment is challenging. We report a patient with cardiogenic shock due to serpiginous VSR following myocardial infarction who underwent percutaneous transcatheter device closure successfully but expired on the 3rd day following the procedure due to sepsis and multiorgan failure.

Keywords

• cardiogenic shock
• multiorgan failure
• percutaneous transcatheter device closure
• sepsis
• ventricular septal rupture