Multidisciplinary transcatheter rescue of post-infarction ventricular septal rupture in cardiogenic shock: expanding the role of percutaneous closure-case report.

ABSTRACT:

Background

Post-infarction ventricular septal rupture is a rare but often fatal mechanical complication of acute myocardial infarction, particularly when associated with cardiogenic shock and multiorgan dysfunction.

Case summary

A 65-year-old woman presented in cardiogenic shock five days after initial chest pain. ECG showed ST-segment elevation in anterior and inferior leads. Coronary angiography revealed thrombotic occlusion of the proximal left anterior descending artery, successfully treated with primary percutaneous coronary intervention. Transthoracic echocardiography later revealed an 11 mm inferobasal ventricular septal rupture. Due to high surgical risk (EuroSCORE II >50%) in the setting of renal failure and recent dual antiplatelet therapy, the multidisciplinary He

SUBMITTER: Ferreira IM 

PROVIDER: S-EPMC12810202 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature