CLINICAL CASE OF MUSCULAR VENTRICULAR SEPTUM DEFECT CLOSURE AFTER KNIFE WOUND

Ventricular septal defect (VSD) is a congenital heart disease characterized by the presence of a message (hole) between the right (RV) and left ventricles (LV). VSD is the most common congenital heart disease, found in 32% of patients, either alone or in combination with other defects or abnormalities. Perimembranous defects account for 61.4 - 80% of all cases of VSD, muscle defects - 5 - 20%. The gender distribution is almost the same: girls (47-52%), boys (48-53%). Due to the high frequency of spontaneous closure of small defects of the interventricular septum, the incidence of this disease decreases in children and, especially, in adults [1,2]. Large VSDs are not prone to spontaneous closure and are accompanied by severe hemodynamic disturbances and severe clinical course, which leads to low survival in patients with such defects, the median survival of which is in the range of 5-15 years. Acquired VSDs are rare. Analysis of the literature allows us to consider two possible nosological variants of lesions: VSD, as a result of heart injury and rupture of the interventricular septum in myocardial infarction [3,4].