Transcatheter closure of ventricular septal rupture with Swan Ganz balloon.

CASE REPORT A 47 year old lady had an acute severe episode of retrosternal chest pain, radiating to left arm and was diagnosed to have anteroseptal MI in a district hospital. The only cardiovascular risk factor was hypertension. Her vital signs were stable, Killips Class I. Thrombolysis with streptokinase and double antiplatelets acetylsalicylate 300mg and clopidogrel 300mg stat were administered. As her chest pain and ST elevation in the ECG persisted after the completion of the thrombolysis, she was transferred to a nearby tertiary hospital with cardiac facility the next morning with the presumption of failed thrombolysis.