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Post myocardial ventricular septal defect

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https://www.readbyqxmd.com/read/29221351/extracorporeal-membrane-oxygenation-system-as-a-bridge-to-reparative-surgery-in-ventricular-septal-defect-complicating-acute-inferoposterior-myocardial-infarction
#1
Jose Rozado, Isaac Pascual, Pablo Avanzas, Daniel Hernandez-Vaquero, Ruben Alvarez, Rocio Díaz, Beatriz Díaz, María Martín, Amelia Carro, Guillermo Muñiz, Jacobo Silva, Cesar Moris
Post-infarction ventricular septal defect (VSD) is a rare but potentially lethal complication of acute myocardial infarction. Medical management is usually futile, so definitive surgery remains the treatment of choice but the risk surgery is very high and the optimal timing for surgery is still under debate. A 55-year-old man with no previous medical history attended the emergency-room for 12 h evolution of oppressive chest pain and strong anginal pain 7 days ago. On physical examination, blood pressure was 96/70 mmHg, pansystolic murmur over left sternal border without pulmonary crackles...
September 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28846531/post-myocardial-infarction-ventricular-septal-defect-six-months-following-coronary-artery-bypass-grafting
#2
Amy G Fiedler, Thoralf M Sundt Iii, George Tolis
Mechanical complications following acute myocardial infarction are associated with high mortality. We present the first reported case of a new post myocardial infarction ventricular septal defect (VSD) within six months of coronary artery bypass grafting. The patient underwent successful surgical correction of the VSD with the assistance of mechanical circulatory support (MCS). This case highlights the importance of mechanical circulatory support in the management of cardiogenic shock associated with rare complications of myocardial infarction, even after surgical revascularization...
August 25, 2017: Heart Surgery Forum
https://www.readbyqxmd.com/read/28832791/techniques-timing-prognosis-of-post-infarct-ventricular-septal-repair-a-re-look-at-old-dogmas
#3
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/28728260/-clinical-analysis-of-pacing-therapy-and-treatment-of-complications-during-follow-up-in-children
#4
P J Zhao, Y W Chen, F Li, Y Li, J P Yang, J J Wu
Objective: To analyze characteristics of permanent pacemaker implantation in children as well as treatment and prognosis of complications. Method: Clinical data of children who underwent endocardial or epicardial permanent pacemaker implantation between April 2000 and June 2016 in Shanghai Xinhua Hospital and Shanghai Children's Medical Center were analyzed retrospectively. These patients were discharged 5 days after implantation. Electrocardiogram, chest X ray, echocardiography and pacemaker programming were performed during follow-up...
July 2, 2017: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://www.readbyqxmd.com/read/28677121/post-infarction-ventricular-septal-defect-due-to-an-isolated-septal-myocardial-infarct
#5
Shotaro Kaneko, Susumu Isoda, Yusuke Matsuki, Ichiya Yamazaki, Munetaka Masuda
No abstract text is available yet for this article.
August 2017: Journal of Cardiac Surgery
https://www.readbyqxmd.com/read/28641844/the-in%C3%A2-vivo-morphology-of-post-infarct-ventricular-septal-defect-and-the-implications%C3%A2-for%C3%A2-closure
#6
Mark C K Hamilton, Jonathan C L Rodrigues, Robin P Martin, Nathan E Manghat, Mark S Turner
OBJECTIVES: The aim of this study was to define the dynamic in vivo morphology of post-infarct ventricular septal defect (PIVSD), which has not been previously described in living patients. BACKGROUND: PIVSD is a devastating complication of acute myocardial infarction. METHODS: The anatomic features of PIVSD, as demonstrated by computed tomography or magnetic resonance imaging, were retrospectively reviewed. RESULTS: Thirty-two PIVSDs were assessed, 16 left coronary artery and 16 right coronary artery PIVSDs...
June 26, 2017: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/28639771/-post-myocardial-infarction-ventricular-septal-defect
#7
Florian Rey, Fabio Rigamonti, Jawad Chaara, Hajo Müller, Pascal Meier, Marco Roffi, Stéphane Noble
Post-myocardial infarction ventricular septal defect corresponds to the rupture of the ventricular septum between the healthy and infarcted parts. It is a rare complication still associated with a high mortality rate. Its diagnostic should be evoked in case of pathologic cardiac auscultation and confirmed by emergent transthoracic echocardiography. Hemodynamic stabilisation, mainly with the insertion of an intra-aortic balloon pump is the first step in the management. The subsequent modality of closure, either surgical or transcatheter, as well as the ideal timing should be discussed in the Heart team...
May 24, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28540218/non-st-elevation-myocardial-infarction-and-post-stenting-ventricular-septal-defect-in-the-setting-of-viral-myocarditis
#8
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
https://www.readbyqxmd.com/read/28398369/-percutaneous-treatment-of-complex-post-myocardial-infarction-ventricular-septal-defect-case-report-and-literature-review
#9
REVIEW
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
https://www.readbyqxmd.com/read/28329178/intraoperative-coronary-revision-but-not-coronary-pattern-is-associated-with-mortality-after-arterial-switch-operation
#10
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...
July 1, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/27832852/utility-of-the-gore-septal-occluder-in-transcatheter-closure-of-post-myocardial-infarct-ventricular-septal-defect-initial-experience
#11
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
https://www.readbyqxmd.com/read/27751330/hemolysis-induced-by-pmivsd-occluder
#12
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
https://www.readbyqxmd.com/read/27669746/the-effectiveness-of-extracorporeal-membrane-oxygenation-in-a-patient-with-post-myocardial-infarct-ventricular-septal-defect
#13
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
https://www.readbyqxmd.com/read/27501508/lvad-implantation-following-repair-of-acute-postmyocardial-infarction-ventricular-septal-defect
#14
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
https://www.readbyqxmd.com/read/27462148/successful-device-closure-of-a-post-infarction-ventricular-septal-defect
#15
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
https://www.readbyqxmd.com/read/27396543/off-pump-surgery-for-post-myocardial-infarction-ventricular-septal-rupture
#16
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
https://www.readbyqxmd.com/read/27212977/post-myocardial-infarction-ventricular-septal-defect-is-it-better-to-operate-on-a-fresh-infarction-or-to-wait-a-case-study
#17
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
https://www.readbyqxmd.com/read/27180262/misexpression-of-tbx18-in-cardiac-chambers-of-fetal-mice-interferes-with-chamber-specific-developmental-programs-but-does-not-induce-a-pacemaker-like-gene-signature
#18
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
https://www.readbyqxmd.com/read/27174106/management-of-post-myocardial-infarction-ventricular-septal-rupture
#19
REVIEW
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
https://www.readbyqxmd.com/read/27173869/interventional-post-myocardial-infarction-ventricular-septal-defect-closure-a-systematic-review-of-current-evidence
#20
REVIEW
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
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