Key result
Emergency surgical closure of a postinfarction ventricular septal defect on the beating heart was successful, with no residual defect observed at four-month follow-up.
Emergency surgical closure of a postinfarction VSD on the beating heart can be successfully performed with good short-term outcomes.
We present a 77-year-old female with recent myocardial infarction complicated by antero-apical ventricular septal defect (VSD) and quick development of low cardiac output. Using interrupted horizontal mattress sutures VSD closure was successfully performed on the beating heart. Transthoracic echocardiography at the four-month follow-up did not reveal residual VSD.
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Siondalski et al. (2006) studied this question. Emergency surgical closure of a postinfarction ventricular septal defect on the beating heart was successful, with no residual defect observed at four-month follow-up.
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