Surgical versus percutaneous closure of post-infarction ventricular septal rupture; review of literature and single-center experience.

ABSTRACT:

Background

Post-infarction ventricular septal rupture (PIVSR) is a rare mechanical complication, characterized by a dismal prognosis. Despite the widespread timely reperfusion and recent advances in management, short-term mortality of PIVSR remains high. The complexity of the hemodynamic profile, confusing evidence for the optimal timing for intervention, and lack of head-to-head trials, all make the management of such a condition very challenging.

Methods

The database of a tertiary cardiac center was retrospectively analyzed for PIVSR cases through the period from April 2015 to April 2023. Clinical, echocardiographic, and interventional data were explored. The primary outcome was 30-day mortality that was contrasted for surgical versus percutaneous repair.

Results

A

SUBMITTER: Hussein H 

PROVIDER: S-EPMC11900382 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature