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Post myocardial ventricular septal defect

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
Marius Hornung, Jennifer Franke, Dani Id, Horst Sievert
Percutaneous transcatheter closure techniques and devices for congenital intracardiac shunts have considerably improved; therefore, catheter closure is now the treatment of choice for atrial septal defects (ASD). This is technically feasible in more than 80% of patients with a secundum ASD and the success rate is higher than 99%. General anesthesia is as a rule unnecessary and the hospital stay is very short. A patent oval foramen (POF) is a potential cause of cryptogenic stroke and peripheral embolisms. The catheter occlusion has many advantages in comparison to lifelong anticoagulation therapy and for some patients it is the only therapeutic option...
August 2015: Herz
Ljupčo Mangovski, Rainer Kozlik-Feldmann, Miodrag Perić, Ljiljana Jovović, Mihajlo Farkić, Dragica Dekić
INTRODUCTION: Acquired ventricular septal defect (VSD) is uncommon, but serious mechanical complication of acute myocardial infarction with poor outcome and high mortality rate in surgically or medically treated patients. CASE REPORT: We report a 58-year-old male patient admitted to our hospital six days following acute inferior myocardial infarction complicated by ventricular septal rupture with signs of heart failure. Coronary angiography revealed 3-vessel disease, with proximally occluded dominant right coronary artery...
January 2015: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
Alexander C Egbe, Joseph T Poterucha, Charanjit S Rihal, Nathaniel W Taggart, Frank Cetta, Allison K Cabalka, Peter M Pollak, Guy S Reeder, Donald J Hagler
OBJECTIVES: To determine event-free survival after transcatheter closure of ventricular septal defect (VSD), and to identify predictors of adverse events (AE) in post myocardial infarction VSD (post-MI VSD) subgroup. BACKGROUND: There are limited data on mid-term follow-up after transcatheter VSD closure. METHODS: Retrospective review of 27 cases of transcatheter VSD closure (post-MI = 18 and non-ischemic = 9) performed from 1999 to 2013...
December 1, 2015: Catheterization and Cardiovascular Interventions
Hala M Agha, Sonia A El-Saiedi, Mohamed F Shaltout, Hala S Hamza, Hayat H Nassar, Doaa M Abdel-Aziz, Amira Esmat El Tantawy
Published data showing the intermediate effect of transcatheter device closure of atrial septal defect (ASD) in the pediatric age-group are scarce. The objective of the study was to assess the effects of transcatheter ASD closure on right and left ventricular functions by tissue Doppler imaging (TDI). The study included 37 consecutive patients diagnosed as ASD secundum by transthoracic echocardiography and TEE and referred for transcatheter closure at Cairo University Specialized Pediatric Hospital, Egypt, from October 2010 to July 2013...
October 2015: Pediatric Cardiology
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