Percutaneous occlusion of post-myocardial infarction ventricular septum rupture

Abstract

Aims The aim of this systematic review is to gain insight into the published experience on percutaneous closure of a postinfarction ventricular septal rupture (VSR). Method Relevant literature was obtained by MeSH-term searches in the online search-engine PubMed. Articles published in the last 10 years were included. Further filtering was done by using search limits and individual article selection based on the aims of this systematic review. Conclusion Percutaneous closure is a potential technique in a select group of patients. The presence of cardiogenic shock and closure in the acute phase after VSR diagnosis are important risk factors of mortality. Device implantation is in general successful with few procedure-related complications. Reduction of the shunt fraction has been reported frequently. This technique is a less invasive alternative to surgical treatment and should be applied on a case-by-case basis. © The Author(s) 2013.