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post infarct ventricular septal rupture

Marco Bruno Ancona, Damiano Regazzoli, Antonio Mangieri, Fabrizio Monaco, Michele De Bonis, Azeem Latib
Ventricular septal rupture (VSR) is a complication of myocardial infarction. Surgery is the only treatment; however, mortality is high, especially if it is performed within 7 days from presentation. The improved outcome with delayed intervention could be related to evolution of the infarct, which allows a more effective surgical repair. However, it is also a representation of survival bias, as an early surgery is usually performed on individuals with hemodynamic instability. We present a case of VSR complicated by cardiogenic shock...
September 7, 2016: Cardiovascular Intervention and Therapeutics
Liming Xia, Zhongyun Zhuang, Weihua Wu, Dan Zhu
Post-myocardial infarction ventricular septal rupture (PIVSR) is a complication of acute myocardial infarction with high mortality. We report a new surgical strategy to treat PIVSR. Instead of traditional open surgery, the septal defect was repaired with periventricular closure off pump.
September 2016: Journal of Cardiac Surgery
Lucian Florin Dorobantu, Ovidiu Stiru, Vlad Anton Iliescu
Introduction The association between both left and right ventricular free wall ruptures (FWR) and post-infarction anterior ventricular septal defect (VSD) is an exceptional situation. Case report We present the case of a patient who developed a VSD and two FWRs (of the left and right ventricle, respectively) shortly after the onset of an anterior AMI. We surgically closed this complex rupture using the cohesive double patch technique with two Teflon patches combined with an infarct exclusion technique. The left and right ventricular patches were attached cohesively to the septal wall and the infarcted area was excluded without reducing the left ventricular cavity...
February 2016: Acta Chirurgica Belgica
William M Wilson, Eric M Horlick
Ventricular septal rupture (VSR) post acute myocardial infarction is associated with a high mortality rate if not treated. Early surgical repair is recommended regardless of haemodynamic status. We review the role of transcatheter device closure for VSR, which has emerged as an alternative to surgery. The procedure itself has a high technical success rate with a relatively low complication rate; however, it is associated with high in-hospital mortality rates when performed in the early phase. Results post transcatheter closure are best in the subacute phase post MI (in part reflective of a selection bias), or post surgical repair with a patch leak...
May 17, 2016: EuroIntervention
Eric J Bansal, Joshua L McKay, C Huie Lin
No abstract text is available yet for this article.
January 2016: Methodist DeBakey Cardiovascular Journal
Jared J Liebelt, Yuanquan Yang, Joseph J DeRose, Cynthia C Taub
Ventricular septal rupture (VSR) is a rare but devastating complication after acute myocardial infarction (AMI). While the incidence has decreased, the mortality rate from VSR has remained extremely high. The use of mechanical circulatory support with intra-aortic balloon pump (IABP) and extracorporal membrane oxygenation (ECMO) may be useful in providing hemodynamic stability and time for myocardial scarring. However, the optimal timing for surgical repair remains an enigma. Retrospective analysis of 14 consecutive patients diagnosed with VSR after AMI at Montefiore Medical Center between January 2009 and June 2015...
2016: American Journal of Cardiovascular Disease
Chirag Agarwal, Sunny Goel, Adam Jacobi, Barry Love, Javier Sanz
This is a CT imaging study of a 63-year-old female who presented to our center with ST segment elevation MI and was found to have life threatening post-MI ventricular septal defect with associated pseudoaneurysm, which was detected on cardiac CTA. The patient refused surgical management and had a successful percutaneous VSD repair.
December 2015: Indian Heart Journal
Seong Ho Cho, Wook Sung Kim
Ventricular septal rupture (VSR) is a disastrous mechanical complication of myocardial infarction. Although several surgical interventions have been developed, mortality due to surgical management remains high, especially in the case of posterior VSR. We report a successful case of repair of posterior VSR using an alternative transatrial approach to avoid the complications related to ventricular incision.
January 2016: Korean Circulation Journal
Alexandre Cinq-Mars, Pierre Voisine, François Dagenais, Éric Charbonneau, Frédéric Jacques, Dimitris Kalavrouziotis, Jean Perron, Siamak Mohammadi, Michelle Dubois, Florent Le Ven, Paul Poirier, Kim O'Connor, Mathieu Bernier, Sébastien Bergeron, Mario Sénéchal
BACKGROUND: Rupture of the ventricular septum following acute myocardial infarction (AMI) is an uncommon but serious complication, usually leading to congestive heart failure and cardiogenic shock. Surgical repair is the only definitive treatment for this condition. METHODS: We review our experience of surgical repair of post-infarction ventricular septal defects (VSDs), analyze the associated risk factors and outcomes, and do a complete review of the literature...
March 1, 2016: International Journal of Cardiology
Yunus Nazli, Necmettin Colak, Bora Demircelik, Mehmet Faith Alpay, Omer Cakir, Kerim Cagli
Heparin-induced thrombocytopenia (HIT) is a rare but potentially devastating and life-threatening complication from using heparin. HIT not only causes thrombocytopenia, but it also carries an increased risk for fatal thrombotic complications. In this report, we describe the case of a patient in whom fatal HIT developed after successful surgical repair of a posterior post-infarction ventricular septal rupture with cardiopulmonary bypass.
May 2015: Cardiovascular Journal of Africa
Adnan Yalçınkaya, Gökhan Lafçı, Adem İlkay Diken, Eray Aksoy, Ömer Faruk Çiçek, Ayşe Lafçı, Kemal Korkmaz, Kerim Çağlı
BACKGROUND: To determine predictors of mortality after surgical management of post-infarction ventricular septal rupture repair. METHODS: A total of 63 patients (73.2%, mean age 67.22±7.71 years, male:female ratio; 35:28) underwent open heart surgery for post-infarction ventricular septal rupture repair. Patient demographics, operative data and postoperative parameters were analysed to reveal predictors of early mortality and long-term survival. RESULTS: In-hospital mortality was 54...
April 2016: Heart, Lung & Circulation
Hyo-In Rhyou, Tae-Ho Park, Ji-Eun Han, Moo-Hyun Kim, Young-Dae Kim
An 87-year-old woman with continuous chest discomfort was referred to our hospital. ST-segment elevation in lead V1-4 was detected on electrocardiography and ventricular septal rupture (VSR) was observed on echocardiography. Post-acute myocardial infarction (AMI) VSR was suspected and she underwent emergency cardiac catheterization. However, coronary angiography showed normal coronary artery. On the fourth day after admission, the patient died. We suspect that VSR was developed by stress induced cardiomyopathy, not by AMI...
September 2015: Journal of Cardiovascular Ultrasound
Takahiro Nishida, Ryuji Tominaga
Postinfarction ventricular septal defect (PIVSD) is uncommon but serious disease which normally required emergent surgery. Due to the severe hemodynamic condition of this disease, operative results are still poor even after the exclusion method was introduced by David and Komeda in 1990. In fact, the annual report in 2012 of General Thoracic Cardiovascular Surgery reported that the hospital mortality of the acute PIVSD was 26.7%. Percutaneous closure of PIVSD using the Amplatzer PIVSD device may be a reasonably effective treatment for the extremely poor-risk patients...
July 2015: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Mahmood M Shabestari, Fereshteh Ghaderi, Ali Hamedanchi
Ventricular septal rupture (VSR) is an uncommon but serious complication of acute myocardial infarction (MI), associated with a high mortality rate. Although early surgical treatment improves the prognosis, hospital mortality after emergency surgery remains high. Transcatheter closure of postmyocardial infarction ventricular septal defect (PIVSD) has emerged as a potential strategy in selected cases. Current interventional reports are mainly restricted to PIVSD closure in the chronic and subacute setting, which only give a short term result...
2015: Journal of Cardiovascular and Thoracic Research
Ljupčo Mangovski, Rainer Kozlik-Feldmann, Miodrag Perić, Ljiljana Jovović, Mihajlo Farkić, Dragica Dekić
INTRODUCTION: Acquired ventricular septal defect (VSD) is uncommon, but serious mechanical complication of acute myocardial infarction with poor outcome and high mortality rate in surgically or medically treated patients. CASE REPORT: We report a 58-year-old male patient admitted to our hospital six days following acute inferior myocardial infarction complicated by ventricular septal rupture with signs of heart failure. Coronary angiography revealed 3-vessel disease, with proximally occluded dominant right coronary artery...
January 2015: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
R S Larson, E J Haskel, J E Perez
Rupture of both the ventricular septum and free wall (double rupture) is an unusual and, typically fatal, post-myocardial infarction complication. We report here the sequence of events leading to the formation of a double rupture.
July 1992: Cardiovascular Pathology: the Official Journal of the Society for Cardiovascular Pathology
Shih-Ming Huang, Shu-Chien Huang, Chih-Hsien Wang, I-Hui Wu, Nai-Hsin Chi, Hsi-Yu Yu, Ron-Bin Hsu, Chung-I Chang, Shoei-Shen Wang, Yih-Sharng Chen
BACKGROUND: Ventricular septal rupture (VSR) is an uncommon but well-recognized mechanical complication of acute myocardial infarction (AMI). The outcome of VSR remains poor even in the era of reperfusion therapy. We reviewed our experience with surgical repair of post-infarction VSR and analyzed outcomes in an attempt to identify prognostic factors. METHODS: From October 1995 to December 2013, data from 47 consecutive patients (mean age, 68 ± 9.5 years) with post-infarction VSR who underwent surgical repair at our institute were retrospectively reviewed...
2015: Journal of Cardiothoracic Surgery
Alexandre Cinq-Mars, Simon-Pierre Veilleux, Pierre Voisine, François Dagenais, Kim O'Connor, Mathieu Bernier, Mario Sénéchal
Rupture of the interventricular septum after myocardial infarction (MI) is an uncommon but serious complication, usually leading to congestive heart failure and cardiogenic shock. Surgical repair is usually the only definitive treatment for these patients because medical management is associated with a 30-day mortality approaching 100%. However with conventional surgical repair, operative mortality rates range from 33% to 53%. Furthermore, outcomes in patients with posterior ventricular septal defect (VSD) have been reported to have mortality rates up to 86%...
June 2015: Canadian Journal of Cardiology
Liang Tang, Zhenfei Fang, Xinqun Hu, Jiangjun Tang, Xiangqian Shen, Xiaoling Lu, Yanshu Zhao, Jiang Li, Shenghua Zhou
BACKGROUND: Ventricular septal rupture (VSR) following myocardial infarction is a rare complication with high mortality. Although transcatheter closure has emerged as a less invasive method of VSR closure, the optimal timing and technique remain unclear. METHODS: This is a single-center, retrospective, cohort study. Eleven patients that underwent transcatheter closure of post-AMI VSR from 2006 to 2013 at the Second Xiangya Hospital were included in this study. The clinical, procedural, and outcome data were analyzed...
April 15, 2015: International Journal of Cardiology
Pranas Serpytis, Neringa Karvelyte, Rokas Serpytis, Gintaras Kalinauskas, Kestutis Rucinskas, Robertas Samalavicius, Justinas Ivaska, Sigita Glaveckaite, Egidijus Berukstis, Marco Tubaro, Joseph S Alpert, Aleksandras Laucevičius
INTRODUCTION: Rupture of the ventricular septum complicates acute myocardial infarction in 0.2% of cases in the thrombolytic era. Ventricular septal defect (VSD) has a mortality of 90-95% in medically managed and 19-60% in surgically treated patients. METHODS: A retrospective analysis was performed of 41 patients, 26 females (63.4%) and 15 males (36.6%), average age 67.5 ± 15 years, with post-infarction VSD who were treated in the VUL SK intensive cardiology unit between 1991 and 2007...
January 2015: Hellenic Journal of Cardiology: HJC, Hellēnikē Kardiologikē Epitheōrēsē
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