A 58-year-old woman with post-infarction ventricular septal defect developed severe right ventricular failure and required urgent surgical repair after medical therapy failed.
This case highlights the critical need for early recognition and multidisciplinary management, including prompt surgical intervention, for post-infarction ventricular septal defect presenting with cardiogenic shock and right ventricular failure.
Absolute Event Rate: 0% vs 0%
Abstract Objectives Post-infarction ventricular septal defect is a rare but severe mechanical complication of acute myocardial infarction that can lead to cardiogenic shock and carries a high mortality rate. Early recognition and multidisciplinary management are essential for improving survival. Case presentation A 58-year-old previously healthy woman presented to the Emergency Department with syncope and cardiogenic shock due to an anterior myocardial infarction. Echocardiography revealed an apical ventricular septal defect with severe biventricular dysfunction and right ventricular failure, confirmed by computed tomography. Urgent coronary angiography demonstrated total occlusion of the left anterior descending artery, treated with stent implantation. Despite maximal medical therapy, she required emergency surgical repair with patch closure and concomitant coronary bypass grafting. Conclusions This case highlights the challenges of post-infarction VSD presenting with predominant right sided heart failure, requiring rapid and multidisciplinary management, including prompt surgical intervention, and advanced mechanical circulatory support.
Pontoriero et al. (Fri,) reported a other. A 58-year-old woman with post-infarction ventricular septal defect developed severe right ventricular failure and required urgent surgical repair after medical therapy failed.