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Post myocardial ventricular septal defect

Lilia M Sierra-Galan, Angel L Alberto-Delgado, Ana-Camila Flores-Ventura, Eugenio A Ruesga-Zamora, Raquel Mendoza-Aguilar, Victor A Ferrari
No abstract text is available yet for this article.
April 2017: Cardiovascular Diagnosis and Therapy
Elisabetta Moscarella, Giuseppe Santoro, Gianpiero Gaio, Teresa Palladino, Angelo Fabio D'Aiello, Heba Talat Mahmoud, Maurizio Cappelli Bigazzi, Maria Giovanna Russo
Post-myocardial infarction (MI) ventricular septal defects (VSD) are a rare but life-threatening complication of acute MI, with very high mortality rates even if timely approached by surgical repair. Transcatheter closure is an attractive alternative to surgery. However, this option is currently deemed challenging and often unsuitable in complex VSD. We report the case of a young woman in poor hemodynamic conditions due to a complex post-MI VSD. A two-step percutaneous VSD closure was successfully performed adopting a patient-tailored approach based on a throughout knowledge of the anatomic and functional picture using both commercially available dedicated and off-label devices...
February 2017: Giornale Italiano di Cardiologia
Matteo Trezzi, Angelo Polito, Antonio Albano, Sonia B Albanese, Enrico Cetrano, Adriano Carotti
OBJECTIVES: We sought to determine differences in baseline characteristics and clinical outcomes in a consecutive series of patients undergoing arterial switch operation (ASO), assessing the effect of coronary anatomy on postoperative mortality, both overall and adjusted for surgical era. METHODS: From January 2000 to May 2015, 283 consecutive patients underwent ASO for transposition of the great arteries. A total of 103 patients (36.4%) had an associated ventricular septal defect and 23 (8...
March 18, 2017: European Journal of Cardio-thoracic Surgery
Eduardo A Arias, Amit Bhan, Zhan Y Lim, Michael Mullen
No abstract text is available yet for this article.
November 14, 2016: JACC. Cardiovascular Interventions
D Sheshagiri Rao, Ramachandra Barik, Akula Siva Prasad
Hemolysis related to occluder, prosthetic valve, and prosthetic ring used for mitral valve annuloplasty are not very unusual. However, hemolysis related to transcathetor closure of post-myocardial infarction ventricular septal defect (PMIVSD) is infrequent. A close follow-up for spontaneous resolution with or without blood transfusion has been reported in a few cases. Occasionally, surgical retrieval is unavoidable or lifelong blood transfusion is required if surgery cannot be done because of higher risk. In this illustration, we have showed a close follow-up of a case of hemolysis induced by atrial septal occluder used for VSD closure after myocardial infarction...
September 2016: Indian Heart Journal
Jintae Kwon, Donghyup Lee
BACKGROUND: Post infarction ventricular septal defect (VSD) is an uncommon but life threatening complication of acute myocardial infarction. CASE PRESENTATION: A 62-year-old woman was admitted with acute myocardial infarction (AMI). However, the day after angioplasty and stenting, Transthoracic echocardiography (TTE) showed post infarction VSD. We decided to insert an extracorporeal membrane oxygenation (ECMO) device for stabilization purposes before surgical repair...
September 26, 2016: Journal of Cardiothoracic Surgery
Van-Khue Ton, Arthur Reshad Garan, Koji Takeda, Hiroo Takayama, Yoshifumi Naka
Ventricular septal defect (VSD) is a life-threatening complication of myocardial infarction (MI). Mortality is highest if VSD repair occurs within seven days following MI. We report a case of post-MI VSD stabilized with peripheral veno-arterial extracorporeal membrane oxygenation (VA-ECMO) followed by patch repair and implantation of a durable left ventricular assist device (LVAD).
October 2016: Journal of Cardiac Surgery
Si-Wan Choi, Ji Hye Han, Seon-Ah Jin, Mijoo Kim, Jae-Hwan Lee, Jin-Ok Jeong
Ventricular septal defect (VSD) is a lethal complication of myocardial infarction. The event occurs 2-8 days after an infarction and patients should undergo emergency surgical treatment. We report on successful device closure of post-infarction VSD. A previously healthy 66-year-old male was admitted with aggravated dyspnea. Echocardiography showed moderate left ventricular (LV) systolic dysfunction with akinesia of the left anterior descending (LAD) territory and muscular VSD size approximately 2 cm. Coronary angiography showed mid-LAD total occlusion without collaterals...
2016: Clinical Interventions in Aging
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
Bogdan Suder, Łukasz Janik, Grzegorz Wasilewski, Janusz Konstanty-Kalandyk, Jerzy Sadowski, Bogusław Kapelak, Piotr Ceranowicz, Krzysztof Bartuś
The authors present case studies of two patients, aged 76 and 77, who were diagnosed with fresh post-myocardial infarction ventricular septal defects (VSD) and were admitted for urgent surgical intervention. The report is a comment in the discussion concerning the optimal time for surgical intervention.
March 2016: Kardiochirurgia i Torakochirurgia Polska, Polish Journal of Cardio-Thoracic Surgery
Franziska Greulich, Mark-Oliver Trowe, Andreas Leffler, Carsten Stoetzer, Henner F Farin, Andreas Kispert
Initiation of cardiac excitation depends on a specialized group of cardiomyocytes at the venous pole of the heart, the sinoatrial node (SAN). The T-box transcription factor gene Tbx18 is expressed in the SAN myocardium and is required for formation of a large portion of the pacemaker. Previous studies suggested that Tbx18 is also sufficient to reprogram ventricular cardiomyocytes into SAN cells in rat, guinea-pig and pig hearts. To evaluate the consequences of misexpression of Tbx18 for imposing a nodal phenotype onto chamber myocardial cells in fetal mice, we used two independent conditional approaches with chamber-specific cre driver lines and an Hprt(Tbx18) misexpression allele...
August 2016: Journal of Molecular and Cellular Cardiology
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
Florian Schlotter, Suzanne de Waha, Ingo Eitel, Steffen Desch, Georg Fuernau, Holger Thiele
AIMS: Interventional closure of post-myocardial infarction ventricular septal defects (VSD) is an alternative treatment option to surgical repair. However, only limited evidence exists concerning the interventional closure of a VSD. This review seeks to establish an overview of the existing literature and to carry out a systematic analysis of the success rate and clinical outcome of this procedure. METHODS AND RESULTS: We conducted a comprehensive systematic literature search to evaluate the existing evidence of percutaneous device closure of post-infarction VSD...
May 17, 2016: EuroIntervention
Sunil Iyer, Thurston Bauer, Michael Yeung, Cassandra Ramm, Andy C Kiser, Thomas G Caranasos, John P Vavalle
Post-infarction ventricular septal defect (PI-VSD) is a devastating complication that carries a high mortality with or without surgical repair. Percutaneous closure is an attractive alternative in select patients though requires appropriate characterization of the PI-VSD as well as careful device and patient selection. We describe a multidisciplinary and multi-modality imaging approach to successful percutaneous closure of a PI-VSD.
April 2016: Cardiovascular Diagnosis and Therapy
Robert M Bober, Caleb D Thompson, Daniel P Morin
OBJECTIVES: We examined whether regional improvement in stress myocardial blood flow (sMBF) following angiography-guided coronary revascularization depends on the existence of a perfusion defect on positron emission tomography (PET). BACKGROUND: Percent stenosis on coronary angiography often is the main factor when deciding whether to perform revascularization, but it does not reliably relate to maximum sMBF. PET is a validated method of assessing sMBF. METHODS: 19 patients (79% M, 65 ± 12 years) underwent PET stress before and after revascularization (17 PCI, 2 CABG)...
March 28, 2016: Journal of Nuclear Cardiology: Official Publication of the American Society of Nuclear Cardiology
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
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
In Sook Kim, Jung Hee Lee, Dae-Sang Lee, Yang Hyun Cho, Wook Sung Kim, Dong Seop Jeong, Young Tak Lee
BACKGROUND: Postinfarction ventricular septal defects (pVSDs) are a serious complication of acute myocardial infarctions. The aim of this study was to analyze the clinical outcomes of the surgical treatment of pVSDs. METHODS: The medical records of 23 patients who underwent operations (infarct exclusion in 21 patients and patch closure in two patients) to treat acute pVSDs from 2001 to 2011 were analyzed. Intra-aortic balloon counter-pulsation was performed in 19 patients (82...
December 2015: Korean Journal of Thoracic and Cardiovascular 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
Ilham M'hamdi, Halima Benjelloune
No abstract text is available yet for this article.
2015: Pan African Medical Journal
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