Why the study?
Mechanical complications of myocardial infarction are associated with high mortality and often require urgent surgery, prompting this presentation of surgical treatment methods for post-MI VSD and chronic FWR.
Case Report (n=2)
No
Urgent cardiac surgery remains the definitive treatment for mechanical complications of myocardial infarction, with surgical timing tailored to patient hemodynamic stability.
Supports individualized timing of post-MI mechanical complication repair in stable patients; leaves open need for prospective data on deferred strategy.
Introduction Mechanical complications of myocardial infarction (MI), such as free wall rupture (FWR) and post-myocardial infarction ventricular septal defect (post-MI VSD), are associated with a high mortality rate. In most cases, urgent surgical treatment is necessary. Aim This publication aims to present the surgical methods of treating post-MI VSD and chronic FWR. Case Study We present the case of a 74-year-old patient with post-MI VSD who underwent VSD closure using the Asai technique and a 59-year-old patient with chronic FWR and left ventricular pseudoaneurysm who underwent aneurysm resection and the Dor procedure for left ventricular reconstruction. Results and discussion The choice of optimal timing and treatment method depends on the damage type and the patient’s hemodynamic stability. Conclusions The treatment of choice is urgent cardiac surgery. In hemodynamically stable patients, deferred surgery may be performed to improve intraoperative conditions.
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Ogorzelec et al. (2025) conducted a case report in Mechanical complications of myocardial infarction (n=2). Surgical repair (Asai technique and Dor procedure) was evaluated on Clinical outcome and procedure-related complications at 10 months.
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