Preliminary Results of the Surgical Treatment of Ischaemic Septal Wall Rupture

Ischemic Septal Rupture is a lethal condition which mandates aggressive medical and surgical optimization. We reviewed 14 cases of ischemic septal rupture in our centers in the last 7 years.We retrospectively collected the data of 14 of ischemic VSD who had surgical repair in 2 centers in Saudi Arabia in the last 7 years. Our study included 14 cases including 9 males. There were 6 patients in cardiogenic shock and needed preoperative IABP. The median timing between chest pain and VSD repair was 5 days. VSD were anterior in 8, apical in 4 and inferior in 2 cases. Six cases died in 30 days after surgery. Statistical analysis showed cardiogenic shock preoperatively and preoperative organ failures as the predictors of early mortality.