Introduction:

Postinfarction ventricular septal rupture is a high mortality complication of myocardial infarction; but the evolution of surgical techniques has led to early repair with better results.

Objective:

To describe the surgical experience in patients with postinfarction ventricular septal rupture at the Cardiology Hospital of CMN SXXI.

Methods:

A retrospective, observational case series study was conducted. Collected data records that met the inclusion criteria were considered.

Results:

From January first, 1999, to April 30, 2015, 49 patients who underwent surgical repair were registered, only 27 met the inclusion criteria: 15 men and 12 women. Mean age was 62 years old, with 63% overall mortality. Of surviving patients, 50% presented a residual ventricular septal defect: one patient underwent reoperation for total correction, and the remaining continued on follow up.

Conclusions:

The best surgical outcomes were obtained in patients undergoing repair after two weeks of diagnosis of myocardial infarction, being in functional class I and II of the New York Heart Association. As to survival, patients who underwent simple patch repair had lower incidence of residual defects.

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