Hybrid Closure of Post Infarct Ventricular Septal Rupture with Perventricular using Amplatzer Septal Occluder Reinforced with a Composite Patch

Abstract

Post-infarction VSD developed in approximately 1% to 3% of patients and the mortality rate is very high once diagnosis has been established. It is controversial however whether to operate the patient immediately after diagnosis or stabilise the hemodynamics on mechanical circulatory support devices initially. We describe a rare interventional procedure in which a 77-yearold gentleman underwent a successful per-op hybrid closure of post myocardial infarction ventricular septal defect and coronary artery bypass grafting. Pre-operative elective IABP was inserted to support the hemodynamics. The patient had prolonged ICU stay post-surgery but got successfully discharged on post-op day 21.