2026, Number 2
Cir Card Mex 2026; 11 (2)
Successful surgical closure of a ventricular septal rupture following an acute myocardial infarction. Case report
Romero-Meneses, Orlando; Muñoz-Ramos, Lorena; Ramírez-González, Bertín
ABSTRACT
Ventricular septal rupture is a rare yet severe complication of acute myocardial infarction. Delayed surgical closure is the treatment of choice in select cases. We present the case of a 71-year-old woman with anterior myocardial infarction who developed an apical ventricular septal rupture following late percutaneous coronary intervention. Echocardiography confirmed a 1.2 cm defect with a left-to-right shunt. The cardiology team recommended surgical closure, which was successfully performed on day 21 postinfarction. The patient experienced adequate recovery after a postoperative hemorrhagic complication and was discharged with clinical improvement. Delayed post-infarction closure may be beneficial in stable patients. This case supports an individualized and multidisciplinary approach.