Post Infarction Ventricular Septal Rupture: Transcatheter intervention
or Surgical repair?
ABSTRACT Post infarction ventricular septal rupture (PIVSR) is an
infrequent but potentially fatal complication of acute myocardial
infarction. • The 30-day mortality rate with the transcatheter approach
when performed in the acute phase (less than two weeks) was 25.3%
compared to 50% when surgery is performed in the acute phase (within
three weeks). • There is no correlation between defect size and
mortality. • NYHA class IV and time to VSD closure are risk predictors
for transcatheter closure for a 30-day mortality rate of 31.5%.