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'Ventricular Septal Rupture'

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https://www.readbyqxmd.com/read/29883649/modified-double-patch-repair-for-septal-rupture-with-ventricular-wall-dissection
#1
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...
June 5, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29643872/surgical-repair-of-post-infarction-ventricular-septal-rupture-determinants-of-operative-mortality-and-survival-outcome-analysis
#2
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
https://www.readbyqxmd.com/read/29629264/echocardiographic-assessment-of-ventricular-septal-rupture-and-left-ventricular-aneurysm-after-inferior-and-posterior-myocardial-infarction
#3
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
https://www.readbyqxmd.com/read/29589211/a-modified-multi-patch-technique-for-double-layered-repair-of-ischemic-posterior-ventricular-septal-rupture
#4
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
https://www.readbyqxmd.com/read/29513365/ventricular-septal-rupture-complicating-acute-myocardial-infarction-incidence-treatment-and-outcomes-among-medicare-beneficiaries-1999-2014
#5
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
https://www.readbyqxmd.com/read/29455786/examination-of-the-appropriate-timing-of-reperfusion-therapy-for-recent-myocardial-infarction-a-japanese-single-center-retrospective-study
#6
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
https://www.readbyqxmd.com/read/29420842/acute-myocardial-infarction-complicated-with-ventricular-septal-rupture-and-intracranial-hemorrhage
#7
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
https://www.readbyqxmd.com/read/29371872/septal-hematoma-due-to-stent-implementation-in-the-septal-course-of-the-left-anterior-descending-artery
#8
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
https://www.readbyqxmd.com/read/29363045/percutaneous-closure-of-iatrogenic-ventricular-septal-rupture-following-septal-branch-obstruction-during-elective-coronary-angioplasty
#9
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
https://www.readbyqxmd.com/read/29217219/device-closure-of-a-ventricular-septal-rupture-in-a-patient-on-ecmo
#10
Ignacio Cruz-González, Manuel Barreiro-Pérez, Pedro L Sánchez
No abstract text is available yet for this article.
December 4, 2017: Revista Española de Cardiología
https://www.readbyqxmd.com/read/29214816/left-ventricular-free-wall-rupture-after-surgery-for-ventricular-septal-rupture
#11
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
https://www.readbyqxmd.com/read/29198460/combined-transcatheter-treatment-of-ventricular-septal-rupture-and-mitral-regurgitation-after-an-acute-myocardial-infarction
#12
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
https://www.readbyqxmd.com/read/29086433/incremental-value-of-live-real-time-three-dimensional-transesophageal-echocardiography-in-the-assessment-of-ventricular-septal-rupture-following-acute-myocardial-infarction
#13
Mohammed J Arisha, Ming C Hsiung, Navin C Nanda, Bulur Serkan, Amier Ahmad, Ahmed Elkaryoni, Mahmoud Elsayed, Leilani Adana, Shravan Turaga, Emel Guler, Nermina Alagic
Ventricular septal rupture is a serious complication following acute myocardial infarctions and is associated with a significant mortality rate. Classically, two-dimensional transthoracic echocardiography has been used to diagnose this complication and visualize its location. Two-dimensional transesophageal echocardiography has supplemented the transthoracic approach by providing more accurate assessment of the defect size and in guiding closure both percutaneously and intraoperatively. This modality, however, is limited to two-dimensional views only, and a greater breadth of information is instead available through the use of three-dimensional transesophageal echocardiography...
November 2017: Echocardiography
https://www.readbyqxmd.com/read/29054188/effect-of-thrombolytic-therapy-on-the-patterns-of-post-myocardial-infarction-ventricular-septal-rupture
#14
Sunil Kumar Srinivas, Bharathi Sunil, Prabhavathi Bhat, Cholenahally Nanjappa Manjunath
OBJECTIVES: Ventricular septal rupture (VSR) is a rare but feared complication after myocardial infarction (MI). The objective of this study was to investigate the effects of thrombolytic therapy on the patterns of VSR following MI. METHODS: 30 consecutive patients admitted to a single tertiary level cardiac hospital with a diagnosis of acute MI and developed VSR in the hospital were included. The effect on thrombolytic therapy on the formation of VSR and its clinical outcome was studied...
September 2017: Indian Heart Journal
https://www.readbyqxmd.com/read/28832791/techniques-timing-prognosis-of-post-infarct-ventricular-septal-repair-a-re-look-at-old-dogmas
#15
Amber Malhotra, Kartik Patel, Pranav Sharma, Vivek Wadhawa, Tarun Madan, Jagdish Khandeparkar, Komal Shah, Sanjay Patel
Objective: The study aimed to identify the factors affecting the prognosis of post myocardial infarction (MI) ventricular septal rupture (VSR) and to develop a protocol for its management. Methods: This was a single center, retrospective-prospective study (2009-2014), involving 55 patients with post MI VSR. The strengths of association between risk factors and prognosis were assessed using multivariate logistic regression analysis. The UNM Post MI VSR management and prognosis scoring systems (UPMS & UPPS) were developed...
May 2017: Brazilian Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/28824059/successful-medical-treatment-using-tolvaptan-of-ventricular-septal-rupture-following-myocardial-infarction
#16
Kazushi Terada, Kensuke Takagi, Itsuro Morishima, Hideyuki Tsuboi
Although improved treatments for acute myocardial infarction (AMI) have considerably reduced the mortality of AMI in the past two decades, the treatment for ventricular septal rupture (VSR)-a rare but life-threatening mechanical complication of AMI-still remains quite challenging. We herein describe the case of a high-surgical-risk patient with VSR after AMI who was successfully treated using tolvaptan (a novel V2 -receptor antagonist) without any mechanical support.
September 15, 2017: Internal Medicine
https://www.readbyqxmd.com/read/28785703/postinfarction-posterior-ventricular-septal-rupture-mimicking-a-biventricular-free-wall-rupture-with-extracardiac-left-to-right-shunt
#17
Kattih Badder, Jens Vogel-Claussen, Udo Bavendiek, Akin Muharrem, Christian Kühn, Johann Bauersachs, Michael Brehm
No abstract text is available yet for this article.
December 7, 2015: IJC Heart & Vasculature
https://www.readbyqxmd.com/read/28593159/delayed-repair-of-ventricular-septal-rupture-following-preoperative-awake-extracorporeal-membrane-oxygenation-support
#18
Bong Suk Park, Weon Yong Lee, Jung Hyeon Lim, Yong Joon Ra, Yong Han Kim, Hyoung Soo Kim
Outcomes of ventricular septal rupture (VSR) as a complication of acute myocardial infarction are extremely poor, with an in-hospital mortality rate of 45% in surgically treated patients and 90% in patients managed with medication. Delaying surgery for VSR is a strategy for reducing mortality. However, hemodynamic instability is the main problem with this strategy. In the present case, venoarterial extracorporeal membrane oxygenation (ECMO) was used to provide stable hemodynamic support before the delayed surgery...
June 2017: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28470920/a-rationale-for-early-extracorporeal-membrane-oxygenation-in-patients-with-postinfarction-ventricular-septal-rupture-complicated-by-cardiogenic-shock
#19
Daniel Rob, Rudolf Špunda, Jaroslav Lindner, Vilém Rohn, Jan Kunstýř, Martin Balík, Jan Rulíšek, Petr Kopecký, Michal Lipš, Ondřej Šmíd, Tomáš Kovárník, František Mlejnský, Aleš Linhart, Jan Bělohlávek
AIMS: Ventricular septal rupture (VSR) became a rare mechanical complication of myocardial infarction in the era of percutaneous coronary interventions but is associated with extreme mortality in patients who present with cardiogenic shock (CS). Promising outcomes have been reported with the use of circulatory support allowing haemodynamic stabilization, followed by delayed repair. Therefore, we analysed our experience with an early use of Veno-Arterial Extracorporeal Membrane Oxygenation (V-A ECMO) for postinfarction VSR...
May 2017: European Journal of Heart Failure
https://www.readbyqxmd.com/read/28400035/percutaneous-closure-of-post-myocardial-infarction-ventricular-septal-rupture-a-single-centre-experience
#20
Rajendra Kumar Premchand, Ravikanth Garipalli, T N C Padmanabhan, Geetesh Manik
BACKGROUND: Post-infarction ventricular septal rupture (VSR) is a rare but lethal mechanical complication of an acute myocardial infarction (AMI). Survival to 1 month without intervention is 6%. Given high surgical mortality, transcatheter closure has emerged as a potential strategy in selected cases. Indian data on percutaneous device closure of post AMI-VSR is scarce hence we report our single-centre experience with ASD occluder device (Amplatzer and lifetech) for closure of post-AMI VSR...
April 2017: Indian Heart Journal
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