2019 Volume 25 Issue 1 Pages 16-20
When ventricular septal rupture (VSR) occurs following acute myocardial infarction, the mortality is still high. To save the patient, prompt diagnosis, proper management and satisfactory surgical closure are mandatory. This discussion of VSR management describes information of epidemiology, pathogenesis, diagnosis, management, and repair procedures of the septal rupture with a surgeon's point of view. Although definitive surgery remains the treatment of choice, it remains a challenging operation carrying high early mortality. Percutaneous closure may provide option for patients whose conditions preclude surgical repair, and may be useful to close residual shunt. Prompt diagnosis of VSR with referral to experienced heart team is important for the improvement of the clinical outcomes.
