Postinfarction ventricular septal rupture: Transcatheter intervention or surgical repair?

AbstractPostinfarction ventricular septal rupture is an infrequent but potentially fatal complication of acute myocardial infarction.The 30-day mortality rate with the transcatheter approach when performed in the acute phase (<2 weeks) was 25.3% compared to 50% when surgery is performed in the acute phase (within 3 weeks).There is no correlation between defect size and mortality.New York Heart Association class IV and time to ventricular septal defect closure are risk predictors for transcatheter closure for a 30-day mortality rate of 31.5%.
Source: Journal of Cardiac Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: COMMENTARY Source Type: research