Post-myocardial infarction ventricular septal defect is a devastating complication of ST-elevation myocardial infarction. Although surgical intervention is considered the gold standard for treatment, it carries high morbidity and mortality rates. We present 2 cases that illustrate the application of percutaneous closure of a post-myocardial infarction ventricular septal defect: the first in a patient who had undergone prior surgical closure and then developed a new shunt, and the second as a bridge to definitive surgery in a critically ill patient.
Keywords: Heart rupture, post-infarction; heart septal defects, ventricular; heart septum/surgery; myocardial infarction/complications; residual leak; septal occluder device; shock, cardiogenic; treatment outcome; ventricular septal rupture.