Surgical Management and Outcome of Post Mi Ventricular Septal Rupture: Our 10-Years Experience

Aims: The aim of this study is to review our experience with late surgical repair of post-MI VSD in a single center over 10 years. Materials and Methods:This is a retrograde observational study. All patients who underwent post MI VSD closure from May 2014 to April 2023 were included in the study. Results: Total 8 patients underwent post MI VSD repair. The mean age of the patients was 67.62 years with Male: Female ratio 5:3. The VSDs were anterior in 5 (62%) patients with 2 patients having two VSDs. More than 50% of patients were in cardiogenic shock during the initial presentation. All the patients were initially managed conservatively and once stabilized were taken for elective surgery. IABP was used in one patient. Average duration between MI and surgical repair was 23 days. Mean CPB and ACC time was 226 and 98.5 minutes, respectively. On Pump CABG was done in 3 patients. There was no in-hospital mortality and average hospital stay was 29 days. 3 patients were readmitted for post operative effusions. Conclusion: Medical stabilization and repair of post MI VSD after 3 weeks had excellent outcomes in terms of in hospital mortality Clinical Significance: This study helps us understand the clinical course of this rare entity viz post MI VSD and how the delayed repair can result in good outcomes with less morbidity and mortality.