60 yr old hypertensive male presented with evolved anterior wall MI & cardiogenic shock. ECHO evaluation revealed ruptured ventricular septum with a defect of around 2.3 cm(image 1). He was ventillated & was taken up for device closure. Cath revealed two vessel disease which was revascularised. VSD was apical & since it was large, it was closed with a 24 mm ASD device via the jugular approach(image 2).
Post MI VSD is not an uncommon complication, with a grave prognosis. Surgical mortality is high. Percutaneous Device closure is an attractive option in these unfortunate subset of patients.
