Romero-Meneses O, Muñoz-Ramos L, Ramírez-González B

Language: English
References: 4
Page: 71-73
PDF size: 1041.16 Kb.

ABSTRACT

Ventricular septal rupture is a rare yet severe complication of acute myocardial infarction. Delayed surgical closure is the treatment of choice in select cases. We present the case of a 71-year-old woman with anterior myocardial infarction who developed an apical ventricular septal rupture following late percutaneous coronary intervention. Echocardiography confirmed a 1.2 cm defect with a left-to-right shunt. The cardiology team recommended surgical closure, which was successfully performed on day 21 postinfarction. The patient experienced adequate recovery after a postoperative hemorrhagic complication and was discharged with clinical improvement. Delayed post-infarction closure may be beneficial in stable patients. This case supports an individualized and multidisciplinary approach.

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