Ventricular septal rupture (VSR) is a rare but highly lethal (w60%) mechanical complication of myocardial infarction (MI). Although surgical repair has been the gold standard to correct the structural anomaly, percutaneous closure of the defect may represent a valuable therapeutic alternative, with the advantage of immediate shunt reduction to prevent further hemodynamic deterioration in patients with prohibitive surgical risk. Nonetheless, catheter-based VSR closure has faced certain drawbacks that have hampered its application. We describe a clinical case of postinfarction VSR treated with a percutaneous closure device and discuss the procedure’s failure mechanism.
JACC Editor-in-Chief Julia Grapsa, MD, PhD, FACCCME Editor Nadeen N. Faza, MD, FACC
AuthorsJuan P. Bachini, MDJuan Torrado, MD, PhD
Important Dates
Date of Release: March 2, 2022Term of Approval/Date of CME/MOC/ECME Expiration: March 1, 2023