Case report: Heart transplant for persistent right heart failure after complete surgical repair and percutaneous closure of post-myocardial infarction ventricular septal rupture

Pankaj Garg; Amy Lykins; Mohammad Alomari; Peter Pollak; Parag Patel; Basar Sareyyupoglu

doi:10.3389/fcvm.2023.1237772

Case report: Heart transplant for persistent right heart failure after complete surgical repair and percutaneous closure of post-myocardial infarction ventricular septal rupture

Front Cardiovasc Med. 2023 Sep 18:10:1237772. doi: 10.3389/fcvm.2023.1237772. eCollection 2023.

Authors

Pankaj Garg¹, Amy Lykins¹, Mohammad Alomari¹, Peter Pollak², Parag Patel³, Basar Sareyyupoglu¹

Affiliations

¹ Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida.
² Department of Cardiovascular Diseases, Mayo Clinic, Jacksonville, Florida.
³ Department of Transplant, Division of Advanced Heart Failure and Cardiac Transplant, Mayo Clinic, Jacksonville, Florida.

Abstract

The incidence of post-acute myocardial infarction ventricular septal rupture (post-AMI VSR) has decreased; however, mortality after surgical repair of post-AMI VSR remains high. Patients who are not surgical candidates can be managed by heart transplant with a good outcome. A heart transplant in a patient after successful repair of VSR has never been reported. We report a patient who had persistent right heart failure after the successful repair of VSR and underwent a heart transplant with a good outcome.

Keywords: acute myocardial infarction; cardiogenic shock; heart failure; heart transplant; mechanical circulatory support; right heart failure; structural heart disease; ventricular septal rupture.

Publication types

Case Reports