Key result
Repeat surgical patch repair was utilized to manage a recurrent leak following postinfarction ventricular septal defect repair in a 63-year-old male.
Case Report (n=1)
This case report highlights the surgical management and techniques for addressing recurrent leaks following postinfarction ventricular septal defect repairs.
Recurrent postinfarction VSD leaks carry high reoperative risk; this case leaves open optimal strategies to prevent patch dehiscence.
Ventricular septal rupture (VSR) complicates acute myocardial infarction (AMI) in less than 0.2% of cases and is usually surgically managed by endocardial patch repair with infarct exclusion. Although successful in 80% of cases, failure of patch repair (often because of patch dehiscence) results in attempts at percutaneous closure as reoperative mortality can be as high as 40%. We describe a case of an AMI in a 63-year-old male with resultant VSR that required repeat surgical patch repair secondary to recurrent leak. We discuss the management of recurrent leaks and surgical techniques aimed at decreasing residual defects.
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Sayfo et al. (2012) conducted a case report in Ventricular septal rupture complicating acute myocardial infarction (n=1). Repeat surgical patch repair was evaluated. Repeat surgical patch repair was utilized to manage a recurrent leak following postinfarction ventricular septal defect repair in a 63-year-old male.
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