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'Ventricular Septal Rupture'

Q I Talukder, M H Rahman, A K Azad, M Z Rahman, P K Chanda, F Ahmed
To review the experience of surgical repair of post-infarction ventricular septal rupture (VSR) and analyze the associated outcomes in National Heart Foundation Hospital & Research Institute (NHFH & RI). This retrospective review was performed on 19 consecutive cases who had undergone surgical repair of post-infarction VSR between 2009 and 2017. Continuous variables were summarized as mean plus/minus the standard deviation or median. Categorical variables were expressed as percentage of the sample. Comparison between in-hospital survivors versus non-survivors was performed by Student's t-test and chi-square or Fisher's exact test for continuous and categorical variables respectively...
October 2018: Mymensingh Medical Journal: MMJ
Norihiko Kamioka, Peter C Block
Review of the Medicare database shows that over the past 16 years the incidence of post- myocardial infarction (MI) ventricular septal rupture (VSR) has decreased but mortality for all post-MI VSR hospitalizations remains unchanged and high During the study period, the 30-day VSR repair rate decreased from 49.9% in 1999 to 33.3% in 2014. Unadjusted mortality was lower for patients undergoing repair procedures than for those not undergoing repair both at 30 days and at 1-year. Most VSR patients underwent surgical repair (82...
November 15, 2018: Catheterization and Cardiovascular Interventions
V Rao Parachuri, Amit Kumar Tripathy, N M Gaikwad, Akshaya Pratap Singh, Vineet Mahajan, S Niranjan
Repair of ventricular septal rupture post acute myocardial infarction remains a surgical challenge. Several techniques for the closure of these defects have been described. We modified the infarct exclusion technique as described by Tirone David. In this technique two separate pericardial patches are used. The first patch excludes the rupture. The second patch is sutured to the margins of the first patch which provides strength to the margins of the first patch. It is simple, durable and has reduced incidence of residual ventricular septal defects and patch dehiscence...
November 4, 2018: Annals of Thoracic Surgery
Homare Okamura, Mamoru Arakawa, Taro Takeuchi, Hideo Adachi
Ventricular septal rupture is an uncommon fatal complication of acute myocardial infarction. In rare cases, the rupture can extend into the right ventricular free wall and cause intramyocardial dissection. We describe the case of a patient who developed postinfarction right ventricular free wall dissection with left-to-right shunting and successfully underwent patch repair.
October 4, 2018: Interactive Cardiovascular and Thoracic Surgery
Tetsuya Nomura, Kenshi Ono, Yu Sakaue, Daisuke Ueno, Yusuke Hori, Kenichi Yoshioka, Masakazu Kikai, Natsuya Keira, Tetsuya Tatsumi
BACKGROUND As primary percutaneous coronary intervention (PCI) has been commonly performed for acute myocardial infarction (AMI), we rarely encounter ventricular septal rupture (VSR), which is one of the mechanical complications of AMI. However, the associated mortality rate is still very high unless treated appropriately. CASE REPORT We encountered a very rare case of VSR that was considered to have occurred during primary PCI for AMI. The manifestation of sudden coronary flow disturbance may correspond with the emergence of VSR...
September 18, 2018: American Journal of Case Reports
Takeshi Ikuta, Noriaki Kishimoto, Hirofumi Fujii, Eiji Kimura, Yoshihiro Shimizu
Ventricular septal rupture(VSR) after acute myocardial infarction(AMI) is a rare and serious complication that is associated with extremely high mortality. Delayed VSR is particularly uncommon and is difficult to diagnose and treat. A 68-year-old man presented with dyspnea on effort. Coronary angiography revealed subtotal occlusion of the right coronary artery(RCA) with collateral circulation to the chronically and totally occluded left anterior descending artery (LAD). Elective stenting of the RCA was successfully performed for a recent MI of the RCA, while percutaneous coronary intervention(PCI) in the LAD ended in failure...
September 2018: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Manav Aggarwal, Kumaraswamy Natarajan, Maniyal Vijayakumar, Rajiv Chandrasekhar, Navin Mathew, Vikrant Vijan, Anjith Vupputuri, Sanjeev Chintamani, Bishnu Kiran Rajendran, Rajesh Thachathodiyl
OBJECTIVE: The study investigated effectiveness of transcatheter closure of post-myocardial infarction (MI) ventricular septal rupture (VSR) using atrial septal device (ASD) occluder in a cohort of patients admitted at our institute. METHOD: This was a retrospective, observational and single center study, which included patients who were treated with transcatheter closure for post-MI VSR at our tertiary care center between May 2000 and August 2014 depending upon inclusion and exclusion criteria...
July 2018: Indian Heart Journal
Akshyaya Pradhan, Nirdesh Jain, Salvatore Cassese, Pravesh Vishwakarma, Rishi Sethi, Sharad Chandra, Gaurav Chaudhary, Sudhanshu Kumar Dwivedi, Varun Shankar Narain
Objective: We sought to investigate the incidence and predictors of 30-day mortality associated with ventricular septal rupture (VSR) complicating acute myocardial infarction (AMI) in a cohort of patients admitted to a single centre in India. Methods: From October 2013 to February 2016, a total of 6560 patients with a diagnosis of AMI were admitted to our institution. Among these patients, those with a diagnosis of VSR were retrospectively included in this registry...
2018: Heart Asia
Takuma Yamasaki, Yuichi Matsuzaki, Yu Hohri, Takeshi Hiramatsu
Ventricular septal rupture with ventricular free wall dissection is an extremely rare complication after inferior myocardial infarction, and the optimal surgical strategy remains unclear because of the limited number of survival cases. Electrocardiography-synchronized contrast computed tomography was performed before surgery to identify the dissected area and to set up a surgical strategy. We report on modified double patch repair with ventricular wall dissection exclusion, which might be effective for preventing residual shunt and maintaining cardiac function...
December 2018: Annals of Thoracic Surgery
Muhammad Yasir Khan, Tariq Waqar, Perisa Gul Qaisrani, Adnan Zafar Khan, Muhammad Shahrukh Khan, Haider Zaman, Anjum Jalal
Background and Objective: Ventricular septal rupture (VSR) is one of the fatal complications of myocardial infarction (MI). Surgery provides the maximum survival benefit. Our objective was to investigate the risk factors of surgical mortality and to do the survival analysis in the past six years at our hospital. Methods: All the patients operated at CPE Institute of Cardiology Multan Pakistan, between 2009 and 2015 for repair of post MI VSR were analysed retrospectively for demographics, comorbidities, operative and post operative outcomes...
January 2018: Pakistan Journal of Medical Sciences Quarterly
Giuliana Pace, Gianfranco Filippone, Egle Corrado, Fabio Triolo, Vincenzo Argano, Salvatore Novo
We present a case of posterior ventricular septal rupture associated to left ventricular aneurysm manged, during peri-operative period, by transthoracic and transesophageal echocardiography. Three-dimensional transesophageal echocardiography findings add adjunctive and more accurate information regarding morphological details of the ventricular septal rupture rather than two-dimensional echocardiography, allowing, meanwhile, the detection of the outcome of the surgical repair.
January 2018: Journal of Cardiovascular Echography
Takahiro Katsumata, Masahiro Daimon, Hayato Konishi, Shinji Fukuhara
BACKGROUND: The rupture of the posterior ventricular septum after acute inferior myocardial infarction is more challenging to repair than ruptures in other sites since it is less accessible and anatomically restricted. We described a modification of Daggett's original technique of multi-patch repair of ruptured posterior septum. CASE PRESENTATION: The technique was employed in the operation of a 67-year-old male who presented with severe heart failure at the 10th day after he developed inferior myocardial infarction...
March 27, 2018: Surgical Case Reports
Andrew M Goldsweig, Yun Wang, John K Forrest, Michael W Cleman, Karl E Minges, Abeel A Mangi, Herbert D Aronow, Harlan M Krumholz, Jeptha P Curtis
OBJECTIVES: The present study was designed to assess whether the incidence and outcomes of VSR-AMI have changed in the era of timely primary PCI. BACKGROUND: Ventricular septal rupture (VSR) is a rare but frequently fatal complication of acute myocardial infarction (AMI). METHODS: We conducted a retrospective cohort study of all Medicare fee-for-service beneficiaries from 1999 to 2014 to examine trends in the incidence, surgical and percutaneous repair, and 30-day and 1-year mortality of VSR-AMI...
March 7, 2018: Catheterization and Cardiovascular Interventions
Yukio Mizuguchi, Hiroki Shibutani, Sho Hashimoto, Takeshi Yamada, Norimasa Taniguchi, Shunsuke Nakajima, Tetsuya Hata, Akihiko Takahashi
BACKGROUND: The various guidelines clearly mention the treatment strategies for in patient of acute myocardial infarction (MI) presenting more than 24h from symptom onset (recent myocardial infarction, RMI). However, the appropriate timing of reperfusion for RMI is unclear. METHODS: We retrospectively evaluated 525 consecutive MI patients who underwent percutaneous coronary intervention (PCI) in our hospital between January 2008 and December 2012. RESULTS: Sixty RMI patients were more frequently associated with cardiac complications such as myocardial rupture (3...
January 2018: Indian Heart Journal
Munevver Sari, Gokhan Kahveci, Alev Kilicgedik, Mehmet Ayturk, Selcuk Pala
Ventricular septal rupture (VSR) is a rare but fatal complication of acute myocardial infarction (AMI) with an associated mortality that ranges from 41% to 80%. The treatment consists of supplemental oxygenation, afterload reduction, intraaortic balloon pump, and surgical repair. In selected patients, extracorporeal membrane oxygenation (ECMO) and/or percutaneous closure of the defect can be considered if anatomically appropriate. Echocardiography evaluates the morphology and location of the defect, anatomical concerns for percutaneous closure, and accompanying pathologies...
April 2018: Echocardiography
Ramin Khameneh-Bagheri, Reza Jafarzadeh-Esfehani, Mostafa Ahmadi
BACKGROUND: The interventricular septal hematoma (IVSH) is a rare and potentially lethal finding. There are variously reported etiologies including instrumental damages during cardiac interventions. Although there are not enough studies available, conservative management is considered as a preferable approach in stable patients. CASE REPORT: A 45-year man smoker with the previous history of percutaneous coronary intervention (PCI), admitted with unstable angina in present visit...
September 2017: ARYA Atherosclerosis
Takashi Yanagiuchi, Norio Tada, Yusuke Enta, Masaki Hata, Hideki Abe, Tatsushi Ootomo
No abstract text is available yet for this article.
January 23, 2018: Cardiovascular Intervention and Therapeutics
Ignacio Cruz-González, Manuel Barreiro-Pérez, Pedro L Sánchez
No abstract text is available yet for this article.
November 2018: Revista Española de Cardiología
Tomoya Uchimuro, Motohiko Osako, Tetsuya Gotou, Toshiyuki Yamada, Ryogen Yoon
A 67-year-old man presented with late left ventricular free wall rupture 1 month after an extended sandwich technique through a right ventricular incision for ventricular septal rupture following an inferoposterior acute myocardial infarction. We found that residual infarcted myocardium had led to left ventricular aneurysm formation. A pericardial patch on the left ventricular side at the initial operation should have been secured further from the septal defect using a larger needle. A patch on the left ventricular side is important for complete exclusion of a free wall infarction and for decreasing the stress on the suture line securing the patch...
January 1, 2017: Asian Cardiovascular & Thoracic Annals
Tomás Benito-González, Rodrigo Estevez-Loureiro, Carmen Garrote-Coloma, David Alonso-Rodriguez, Laura Romero-Roche, Javier Gualis, Armando Perez de Prado, Felipe Fernandez-Vazquez
No abstract text is available yet for this article.
December 26, 2017: JACC. Cardiovascular Interventions
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