Plugging the Hole: Diagnosis and Management of Post-Myocardial Infarction Ventricular Septal Defect.
Overview
abstract
• VSD after MI is a rare and often fatal complication. • Echocardiography is essential in the diagnosis and management of these patients. • Though urgent surgical repair is recommended, operative risk is often high. • VA ECMO and percutaneous closure under echocardiographic guidance are alternatives. • Echocardiography can identify persistent AV closure and stasis in the aortic root.