Case ReportOpen Access

Transcatheter Closure of Double Ventricular Rupture in a Patient Complicating Acute Myocardial Infarction

Volume 3 - Issue 4

**Chin Chang Cheng*¹, Tse Hsuan² and Yang²**

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- ¹Department of Cardiovascular Center, National Yang-Ming University, Taiwan
- ²Department of Cardiovascular Center, Medical University of Silesia, Kaohsiung, Taiwan
*Corresponding author: Chin Chang Cheng, Department of Cardiovascular Center, National Yang-Ming University, Taipei, Taiwan

Received: March 19, 2018; Published: April 06, 2018

DOI: 10.26717/BJSTR.2018.03.000928

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Abstract

Ventricular septal rupture (VSR) is a fatal complication of acute myocardial infarction. The incidence of VSR is increasingly rare in the percutaneous coronary intervention era but mortality rate remains high. The key to management of this critical condition is an aggressive approach to hemodynamic stabilization and surgical closure of the rupture. In some patients, transcatheter closure may be considered as an alternative way of treatment. There were several case series demonstrated that percutaneous closure as a bridge to surgery improves outcome of patient who has VSR with hemodynamic ally unstable.Wepresent a case who received transcatheter closure of double ventricular rupture with pseudoaneursym after initial surgical repairment of post infarction ventricular septal rupture.

Keywords: Ventricular Septal Rupture; Acute Myocardial Infarction; Mechanical Complications; Transcatheter Closure

Abbreviations: VSR: Ventricular Septal Rupture; AMI: Acute Myocardial Infarction; PCI: Percutaneous Coronary Intervention; LAD: Left Anterior Descending Artery; LLSB: Left Lower Sternal Border; CT: Computer Tomography; CAG: Coronary Angiogram; LV: Left Ventricle; RV: Right Ventricle; Post-Mi VSR: Post Infarction Ventricular Septal Rupture; QP: Pulmonary Blood Flow Ratio; QS: Systemic Blood Flow Ratiov