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Delayed closure in the successful treatment of postinfarction ventricular septal rupture
Delayed closure in the successful treatment of postinfarction ventricular septal rupture
Jesús Saucedo-Castillo 1 
, Diana L. Labastida-Ramírez 1 , Rutilio D. Jiménez-Espinosa 1 , Ana L. Hernández-Pérez 2
1 División de Cirugía, Unidad Médica de Alta Especialidad, Hospital de Cardiología Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México; 2 Departamento de Anestesia, Centro Médico ABC, Ciudad de México, México
*Correspondence: Jesús Saucedo-Castillo. Email: jesussaucedocastillo@me.com
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 surgical ventricular restoration who underwent angioplasty and was later admitted to the intensive care unit to assess hemodynamics in order to prepare him for delayed closure. Surgical repair of the defect was performed 21 days after, and the patient was discharged to the cardiovascular intensive care unit with adequate postoperative evolution.
Keywords: Acute myocardial infarction. Postinfarction ventricular septal defect. post-infarction complications. Cardiogenic shock.
