Management issues during postinfarction ventricular septal defect and role of perioperative optimization: A case series

• Main Authors: Fayaz Mohammed Khazi, Faozi Al-Safadi, Yehia Karaly, Nayyer R Siddiqui, Bassil Al-Zamkan, Obaid Aljassim
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2019-01-01
• Series: Annals of Cardiac Anaesthesia
• Subjects: Cardiogenic shock; coronary artery bypass graft; mechanical circulatory support; postmyocardial infarction ventricular septal rupture; ventricular septal defect
• Online Access: http://www.annals.in/article.asp?issn=0971-9784;year=2019;volume=22;issue=1;spage=30;epage=34;aulast=Khazi

The development of a myocardial infarction ventricular septal rupture is a rare fatal complication, and the surgical repair is the treatment of choice. In most of the scenarios, the operation will be done as an emergency procedure that carries high mortality. Prognosis of these patients depends on prompt echocardiographic diagnosis and the proactive medical and surgical therapy. More recently, various options have been put forward including the timing for surgery, percutaneous closure devices, and the improved outcome with initial stabilization with medical treatment including mechanical support. In this retrospective case series, we are presenting the management of these patients who presented us in different clinical scenarios and trying to identify the risks for the poor outcome and to formulate a strategy to improve the outcome.