Peri-operative challenges in post myocardial infarction ventricular septal rupture: a case series and review of literature

Ventricular septal rupture [VSR] is a life threatening complication of myocardial infarction [MI]. The incidence of post-MIVSR varied from 1% to 3% in the pre-thrombolytic era. There is almost a 10-fold decrease in the reported incidences [0.2-0.3%] of MIVSR today. The mortality in such an event is as high as 50-90%. Prognosis of post-MIVSR depends on prompt echo diagnosis and proactive surgical therapy. The peri-operative challenges during management of such a case can be enormous