Ventricular septal rupture (VSR) is a serious complication after a heart attack, and its surgical repair carries a high risk of early mortality, which varies based on different medical centers.
The study reviews the decision-making process and outcomes of surgery for postinfarction VSR, indicating that preoperative renal failure, severe left ventricular dysfunction, and higher Killip class are linked to increased early mortality.
Early surgical intervention can prevent further organ damage, while the presence of a small residual VSD does not significantly impact patients' quality of life in the midterm after surgery.
Free wall rupture of the left ventricle (LV) is a rare but serious condition that can follow a heart attack, sometimes leading to a pseudoaneurysm if contained by the pericardium, requiring emergency surgery.
A left ventricular aneurysm involves thinning of the wall and abnormal movement, which usually demands elective surgery rather than emergency intervention.
The challenge lies in accurately differentiating between pseudoaneurysms and true aneurysms, as the former poses a greater risk for complications like rupture and cardiac tamponade; this report includes a specific case and a review of relevant literature.