Abstract
The ventricular septal rupture is a potentially fatal complication of acute myocardial infarction. The key to management is an aggressive approach to hemodynamic stabilization and surgical closure of the rupture. If a patient with a small rupture is in hemodynamicaly stable condition, surgery can be delayed to achieve better perioperative results. In unstable patients either urgent surgery or extracorporeal membranous oxygenation support and delayed surgery is indicated. In some patients transcatheter closure can be considered as an alternative to surgery
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