Percutaneous closure of post-MI VSD may serve as a viable option for patients with residual shunts after surgery or as a bridge to definitive surgery in critically ill patients.
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May support percutaneous post-MI VSD closure as bridge or bailout in select cases; hypothesis-generating and requires prospective validation.
Post-myocardial infarction ventricular septal defect is a devastating complication of ST-elevation myocardial infarction. Although surgical intervention is considered the gold standard for treatment, it carries high morbidity and mortality rates. We present 2 cases that illustrate the application of percutaneous closure of a post-myocardial infarction ventricular septal defect: the first in a patient who had undergone prior surgical closure and then developed a new shunt, and the second as a bridge to definitive surgery in a critically ill patient.
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Baldasare et al. (2014) studied this question.
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