Post-infarction ventricular septal defect: triggered by Valsalva manoeuvre?

Baskurt M., Turhan N., Hatemi A., Canikoglu M., Karadag B., Kucukoglu S.

CARDIOVASCULAR JOURNAL OF AFRICA, cilt.21, ss.329-332, 2010 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 21 Konu: 6
  • Basım Tarihi: 2010
  • Doi Numarası: 10.5830/cvja-2010-011
  • Sayfa Sayıları: ss.329-332


Post-infarction ventricular septal defect (VSD) is a fatal mechanical complication of myocardial infarction. Although the incidence has decreased to less than 1% after the extensive use of reperfusion strategies, post-infarction VSD still carries a high mortality risk. Management is controversial, whether to wait for surgery after a stabilisation period or to perform emergency surgery when diagnosed. We report on a case of post-infarction VSD that was detected with severe haemodynamic instability, beginning immediately after the patient's Valsalva manoeuvre on the sixth day of a non-reperfused inferior myocardial infarction. In the early period, the post-infarction VSD was repaired via a trans-aneurysmal approach.