Why the study?
Ventricular septal rupture and papillary muscle rupture are lethal complications of acute myocardial infarction.
Can simultaneous percutaneous VSR closure and mitral valve repair be successfully performed in a patient with postinfarction mechanical complications?
Can simultaneous percutaneous VSR closure and mitral valve repair be successfully performed in a patient with postinfarction mechanical complications?
Simultaneous percutaneous intervention for both ventricular septal rupture and papillary muscle rupture is a feasible alternative in post-myocardial infarction mechanical complications.
Suggests percutaneous options for select post-MI VSR cases; leaves open need for trials before practice change.
Ventricular septal rupture (VSR) and papillary muscle rupture are lethal complications of acute myocardial infarction. We present the case of a 76-year-old woman presenting with chest pain with electrocardiogram showing ST-segment elevation in the inferior leads. Angiography showed chronic right coronary artery occlusion. A VSR and partially torn papillary muscle was seen on echocardiogram. Percutaneous VSR closure with an Amplatzer device (Abbott) and mitral valve repair with a MitraClip (Abbott) were successfully performed simultaneously, and she was discharged to a skilled nursing facility. Percutaneous intervention seems a promising alternative, even for VSR and papillary muscle rupture in a single setting.
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Naeem et al. (2025) studied this question.
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