AN UNSUAL CASE OF APICAL VSD POST ANTERIOR MYOCARDIAL INFARCTION

ABSTRACT Ventricular septal defect (VSD) is a rare yet devastating mechanical complication of acute myocardial infarction (MI), most often presenting within the first week post-infarction. The condition carries high mortality if left untreated, with surgical or percutaneous closure considered the standard of care. However, in certain anatomically favourable cases, particularly when the defect is apical and the patient remains hemodynamically stable, conservative management may be considered. Long-term survival without surgical repair remains exceedingly uncommon.