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JOURNAL ARTICLE
Siyuan Huang, Shicheng Zhang, Yangwu Song, Wei Feng
AIMS: Due to its low incidence, poor prognosis, and high mortality in the acute phase, the long-term prognosis of the left ventricular aneurysm (LVA) complicated by ventricular septal rupture (VSR) has received little attention. This study focus on the long-term prognosis of patients with LVA complicated by relatively stable VSR. METHODS AND RESULTS: Over a decade of retrospection, 68 patients with both LVA and VSR were compared with 136 patients with LVA alone after propensity score matching...
February 28, 2024: ESC Heart Failure
#2
JOURNAL ARTICLE
Anindya Ghosh, Anbarasan Sekar, Sabari Saravanan, Chenni S Sriram, Ulhas M Pandurangi
Scar-related ventricular tachycardia (VT) ablation involves localizing the critical isthmuses by overdrive pacing maneuvers and three-dimensional activation mapping. Implantable prosthetic devices have been known to complicate this by covering sites of potential isthmuses. We herein present a sentinel report of scar-VT ablation with a protected isthmus localized over an endothelialized post-myocardial infarction ventricular septal defect occluder device.
February 2024: Journal of Arrhythmia
#3
JOURNAL ARTICLE
Matteo Matteucci, Daniele Ronco, Mariusz Kowalewski, Giulio Massimi, Michele De Bonis, Francesco Formica, Federica Jiritano, Thierry Folliguet, Nikolaos Bonaros, Sandro Sponga, Piotr Suwalski, Andrea De Martino, Theodor Fischlein, Giovanni Troise, Guglielmo Actis Dato, Filiberto Giuseppe Serraino, Shabir Hussain Shah, Roberto Scrofani, Jurij Matija Kalisnik, Andrea Colli, Claudio Francesco Russo, Marco Ranucci, Matteo Pettinari, Adam Kowalowka, Matthias Thielmann, Bart Meyns, Fareed Khouqeer, Jean-Francois Obadia, Udo Boeken, Caterina Simon, Shiho Naito, Andrea Musazzi, Roberto Lorusso
BACKGROUND AND AIMS: Mechanical complications (MCs) are rare but potentially fatal sequelae of acute myocardial infarction (AMI). Surgery, though challenging, is considered the treatment of choice. The authors sought to study early and long-term results of patients undergoing surgical treatment for post-AMI MCs. METHODS: Patients undergone surgical treatment for post-infarction MCs between 2001 through 2019 in 27 centers worldwide were retrieved from the database of CAUTION study...
February 7, 2024: European Heart Journal. Quality of Care & Clinical Outcomes
#4
Bing-Jie Xue, Wen-Zheng Hu, Chong-You Lee, Qing Yang, Li-Xin Jia, Yuan Wang, Yue Huang, Bo-Kang Qiao, Jie Du
Ventricular septal rupture (VSR) is a catastrophic mechanical complication of acute myocardial infarction (AMI) that can result in acute heart failure. Delaying operative intervention frequently leads to cardiogenic shock and multi-organ failure. Here we report a case of massive anterior MI complicated with VSR that was discovered through cardiac Doppler ultrasound and suspected multiple organ hemorrhage. The patient showed signs of rapid cardiogenic shock and eventually died. The morphological changes of VSR and MI were identified during necropsy, and microscopic examinations of the heart, brain, and kidney revealed multiple organ hemorrhage...
February 15, 2024: Heliyon
#5
JOURNAL ARTICLE
Roland Fiszer, Michal Galeczka, Grzegorz Smolka, Adam Sukiennik, Maciej Chojnicki, Filip Tyc, Jacek Bialkowski, Malgorzata Szkutnik
BACKGROUND: Post-myocardial infarction ventricular septal rupture (VSR) is a rare and severe complication of myocardial infarction. To find early mortality (<30 days) risk factors of device VSR closure and to evaluate its medium-term outcome. METHODS: Multicenter retrospective analysis on all 46 consecutive patients with percutaneous (n = 43) or hybrid (n = 3) VSR closure in 2000-2020 with various nitinol wire mesh occluders...
January 31, 2024: International Journal of Cardiology
#6
Maria Rojas-Espinoza, Celia Aguilar-Mejía, Juan Manuel Muñoz-Moreno
Ventricular septal rupture (VSR) after myocardial infarction is often complicated by cardiogenic shock (CS) with high in-hospital mortality rates. Early use of preoperative venoarterial extracorporeal membrane oxygenation (VA ECMO) and delayed surgical repair have demonstrated lower mortality rates; however, the optimal timing of surgical intervention remains controversial. We report the case of a 53-year-old man with CS stage D due to post-myocardial infarction VSR, who was successfully treated with VA ECMO as a bridge to delayed surgical repair...
December 2023: Curēus
#7
Kazuhiro Asano, Masahiko Noguchi, Ryota Hara, Hiroki Sakai, Keita Kikuchi, Joji Ito, Kotaro Obunai, Hiroyuki Watanabe
UNLABELLED: The efficacy and risk of a combination of veno-arterial extracorporeal membrane oxygenation and Impella (Abiomed, Inc., Danvers, MA, USA), an approach known as ECPELLA, for post-infarction cardiac rupture is unclear. We describe the case of a 72-year-old man who presented with acute myocardial infarction. The patient was managed with ECPELLA because of hemodynamic compromise. One week later, there was a sudden increase in venous oxygen saturation. Transthoracic echocardiography revealed ventricular septal rupture, and free wall rupture...
January 2024: Journal of Cardiology Cases
#8
JOURNAL ARTICLE
Mochamad Yusuf Alsagaff, Oky Revianto, Yan Efrata Sembiring, Muhammad Insani Ilman, Ryan Enast Intan
BACKGROUND: The current guidelines have discouraged the routine use of intra-aortic balloon pump (IABP) in cardiogenic shock complicating acute coronary syndrome (ACS). Since then, the trend of IABP utilization in ACS has been declining. Nevertheless, the guidelines still preserve the recommendation of IABP use in hemodynamic instability or cardiogenic shock caused by post myocardial infarction (MI) ventricular septal rupture (VSR). CASE PRESENTATION: A 46-years-old diabetic Southeast Asian female was referred from a peripheral facility with intractable heart failure despite treatment with vasoactive agents and diuretics for five days...
January 7, 2024: Journal of Medical Case Reports
#9
JOURNAL ARTICLE
Ahmed Al-Bulushi, Issa Al Salmi, Ahmed Ramadan Ahmed, Fatma Al Rahbi
OBJECTIVES: Post-infarction ventricular septal defect (VSD) is one of the known complications after acute myocardial infarction. This study investigated the clinical results after surgical repair of VSD. METHODS: This retrospective study included all patients undergoing surgical repair of VSD from 1996 to 2020 in Oman. RESULTS: Out of a total of 75 patients, 62.5% were men, with a mean age of 59 years. The mean follow-up was 17.2 (7.5) years...
December 2023: Sultan Qaboos University Medical Journal
#10
JOURNAL ARTICLE
Adam R Williams, Mary E Moya-Mendez, Sachin Mehta, Andrew Vekstein, J Kevin Harrison, Carmelo A Milano, Ryan P Plichta, John Haney, Jacob N Schroder, Brittany Zwischenberger, Donald Glower, Jeffrey G Gaca
OBJECTIVE: We developed a hybrid technique for repairing post-myocardial infarction (MI) ventricular septal defect (VSD) that combines infarct exclusion with patch and a nitinol-mesh septal occluder device (SOD) to provide a scaffold to support the damaged septal wall. Here, we compare outcomes of patients with post-MI VSD repaired using patch only or hybrid patch/SOD. METHODS: Patients undergoing post-MI VSD repair at our institution from 2013 to 2022 who received patch alone or patch/SOD repair were analyzed...
December 2023: JTCVS techniques
#11
JOURNAL ARTICLE
Daniele Ronco, Matteo Matteucci, Justine Mafalda Ravaux, Mariusz Kowalewski, Giulio Massimi, Federica Torchio, Cinzia Trumello, Shiho Naito, Nikolaos Bonaros, Michele De Bonis, Dario Fina, Adam Kowalówka, Marek Deja, Federica Jiritano, Giuseppe Filiberto Serraino, Jurij Matija Kalisnik, Carlo De Vincentiis, Marco Ranucci, Theodor Fischlein, Claudio Francesco Russo, Massimiliano Carrozzini, Udo Boeken, Nikolaos Kalampokas, Michele Golino, Roberto De Ponti, Matteo Pozzi, Jean-François Obadia, Matthias Thielmann, Roberto Scrofani, Stefania Blasi, Giovanni Troise, Carlo Antona, Andrea De Martino, Giosuè Falcetta, Guglielmo Actis Dato, Paolo Severgnini, Andrea Musazzi, Roberto Lorusso
OBJECTIVES: Post-acute myocardial infarction mechanical complications (post-AMI MCs) represent rare but life-threatening conditions, including free-wall rupture, ventricular septal rupture and papillary muscle rupture. During the coronavirus disease-19 (COVID-19) pandemic, an overwhelming pressure on healthcare systems led to delayed and potentially suboptimal treatments for time-dependent conditions. As AMI-related hospitalizations decreased, limited information is available whether higher rates of post-AMI MCs and related deaths occurred in this setting...
December 5, 2023: Interdiscip Cardiovasc Thorac Surg
#12
JOURNAL ARTICLE
Mirza Mohd Kamran, Arun Gopi, Zeeshan Lakhani, Amira Shaik, Janeel Musthafa, G Raghuram, P P Mohammed Musthafa
KONAR-MFO (multifunctional occluder) [Lifetech, Shenzhen, China] was first used in humans in 2013 and received the CE mark in May 2018. As name suggest, it can be use in various(multifunctional) situations in paediatric as well as adults. This is a versatile device with an improved delivery and flexibility which make this device a better option to be use with more comfort and minimum complications. This paper is regarding few rare and complicated lesions, like anomalous origin of coronary artery from pulmonary artery (ALCAPA) device closure, device closure of ventricular septal rupture (VSR) post myocardial infarction in sick elderly and finally device closure of paravalvar leak (PVL)after mitral valve replacement which were treated with this device with excellent results...
December 16, 2023: Pediatric Cardiology
#13
JOURNAL ARTICLE
Rodrigo Sandoval Boburg, Stoyan Kondov, Mladen Karamitev, Christian Schlensak, Rafal Berger, Helene Haeberle, Walter Jost, Albi Fagu, Friedhelm Beyersdorf, Maximilian Kreibich, Martin Czerny, Matthias Siepe
OBJECTIVES: The aim of this study was to analyze outcomes in patients undergoing surgery for ventricular septal rupture (VSR) after myocardial infarction (MI) and the preoperative use of extracorporeal life support (ECLS) as a bridge to surgery. METHODS: We included patients undergoing surgery for VSR from January 2009 until June 2021 from two centers in Germany. Patients were separated into two groups, those with and without ECLS, before surgery. Pre- and intraoperative data, outcome, and survival during follow-up were evaluated...
October 30, 2023: Journal of Cardiovascular Development and Disease
#14
JOURNAL ARTICLE
Jian Shi, Jeremy Levett, Haiyu Lv, Guoan Zhang, Sha Wang, Tao Wei, Zhikun Wang, Xi Zhang, Dawei Feng, Kan Wang, Qiang Liu, Dominique Shum-Tim
INTRODUCTION: Ventricular septal defect (VSD) is a mechanical complication of acute myocardial infarction (MI) with a very high mortality, despite advances in surgical and circulatory support. The tremendous hemodynamic disturbance and the severely fragile myocardium render surgical repair a great challenge. The optimal time of surgical repair with or without circulatory support is still controversial. OBJECTIVE: The aim of this study is to review our experience with early surgical repair of post-MI VSD in a single major cardiac institution in China...
November 10, 2023: Journal of Cardiothoracic Surgery
#15
REVIEW
Roberto Baltodano-Arellano, Kelly Cupe-Chacalcaje, Angela Cachicatari-Beltran, Lindsay Benites-Yshpilco, Dante Urdanivia-Ruiz, Josh Moscoso, Paol Rojas, Xochitl Ortiz-Leon, Gerald Levano-Pachas
Ventricular septal rupture (VSR) is a rare and devastating complication of acute myocardial infarction. Early detection, assessment of the hemodynamic impact, and illustration of the pathophysiological context are crucial functions of echocardiography in decision-making for intensive management and reparative intervention. To evaluate this entity, echocardiography exhibits two strengths: its bedside nature and its multiple modalities. This document reviews the comprehensive use of echocardiography in the study of post-infarction VSR...
December 2023: Echocardiography
#16
JOURNAL ARTICLE
Keyan Zhao, Baoyin Li, Xiaodong Guo, Biao Sun, Yang Wang, Dengshun Tao, Qiguang Wang, Huishan Wang
BACKGROUND: Ventricular septal rupture (VSR) following myocardial infarction (MI) is a rare but lethal complication. We analyzed the long-term results and risk factors for survival in the treatment of VSR. METHODS: From January 2012 to December 2021, 115 consecutive patients with post-MI VSR were admitted to our hospital. Depending on different treatment methods patients were divided into following three groups: medical, transcatheter intervention, and surgical repair...
October 7, 2023: Heart Surgery Forum
#17
Sandeep Jalli, Kateri J Spinelli, Eric B Kirker, Ashok Venkataraman, Jacob Abraham
BACKGROUND: Post-infarction ventricular septal defect (PIVSD) is a rare, life-threatening complication of acute myocardial infarction (AMI). Few studies report the use of mechanical circulatory support (MCS) for the treatment of cardiogenic shock in this setting. We describe our experience using a microaxial, transvalvular device (Impella, Abiomed, Danvers, MA, USA) as a bridge-to-closure for PIVSD. CASE SUMMARY: We identified 13 patients from two centres with cardiogenic shock due to PIVSD who received an Impella device between January 2016 and February 2022...
October 2023: European Heart Journal. Case Reports
#18
Katharina Huenges, Bernd Panholzer, Jochen Cremer, Assad Haneya
BACKGROUND: Post-infarction ventricular septal defects remain one of the most feared complications after myocardial infarction with high mortality rates. In special cases, surgical or interventional treatment strategies are technically not feasible and do not always lead to a good outcome. CASE PRESENTATION: A 58-year-old male patient in cardiogenic shock with a very large ventricular septal (VSD) defect (4.9 cm × 5 cm) due to myocardial infarction was presented in our department...
2023: Frontiers in Cardiovascular Medicine
#19
JOURNAL ARTICLE
Daniele Ronco, Albert Ariza-Solé, Mariusz Kowalewski, Matteo Matteucci, Michele Di Mauro, Esteban López-de-Sá, Marco Ranucci, Alessandro Sionis, Nikolaos Bonaros, Michele De Bonis, Claudio Francesco Russo, Aitor Uribarri, Santiago Montero, Theodor Fischlein, Adam Kowalówka, Shiho Naito, Jean-François Obadia, Roberto Martín-Asenjo, Jaime Aboal, Matthias Thielmann, Caterina Simon, Rut Andrea-Riba, Carolina Parra, Thierry Folliguet, Manuel Martínez-Sellés, Marcelo Sanmartín Fernández, Nawwar Al-Attar, Ana Viana Tejedor, Giuseppe Filiberto Serraino, Virginia Burgos Palacios, Udo Boeken, Sergio Raposeiras Roubin, Miguel Antonio Solla Buceta, Pedro Luis Sánchez Fernández, Roberto Scrofani, Gemma Pastor Báez, Pablo Jorge Pérez, Guglielmo Actis Dato, Juan Carlos Garcia-Rubira, Jose H de Gea Garcia, Giulio Massimi, Andrea Musazzi, Roberto Lorusso
AIMS: Many historical and recent reports showed that post-infarction ventricular septal rupture (VSR) represents a life-threatening condition and the strategy to optimally manage it remains undefined. Therefore, disparate treatment policies among different centres with variable results are often described. We analysed data from European centres to capture the current clinical practice in VSR management. METHODS AND RESULTS: Thirty-nine centres belonging to eight European countries participated in a survey, filling a digital form of 38 questions from April to October 2022, to collect information about all the aspects of VSR treatment...
September 2023: Eur Heart J Open
#20
Kara F Morton, Usman A Hasnie, Darryl Prime, Sasha A Still, Samuel McElwee
We present the case of a 60-year-old man who presented with a post-myocardial infarction ventricular septal rupture caused by a delayed presentation of myocardial infarction. Despite revascularization, hemodynamic stability, and a 10-day delay until operative management to allow for tissue healing, the patient experienced a fatal recurrent postoperative ventricular septal rupture. ( Level of Difficulty: Beginner. ).
September 20, 2023: JACC. Case reports
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