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Keywords Post myocardial ventricular se...

Post myocardial ventricular septal defect

https://read.qxmd.com/read/37559784/post-myocardial-infarction-ventricular-septal-defect-closure-with-gore-cardioform-atrial-septal-defect-occluder-to-improve-tissue-interactions-case-report
#21
Ines Hribernik, James R Bentham
BACKGROUND: Gore Cardioform Atrial Septal Defect Occluder (GCA) is composed of a platinum-filled nitinol wire frame covered with expanded polytetrafluoroethylene (ePTFE). This makes the device highly occlusive and resistant to residual shunts through the device, as well as conforming well to the surrounding anatomy. In defects with poor rims to hold a device for closure or where one of the 'rims' is the free wall of the left ventricle, such as in a post-infarct apical ventricular septal defect (VSD), successful closure with standard nitinol mesh devices can be unachievable...
August 2023: European Heart Journal. Case Reports
https://read.qxmd.com/read/37551229/post-myocardial-infarction-ventricular-septal-defect-in-the-setting-of-no-reflow-and-covid
#22
Abdul Haseeb Riaz, Usman Younus
The occurrence of post-myocardial infarction (MI) ventricular septal defect (VSD) is a rare but life-threatening complication. This case report presents a unique case of a 49-year-old female patient with an anterolateral ST-segment elevation MI who underwent percutaneous coronary intervention (PCI) and drug-eluting stent (DES) placement, complicated by a no-reflow phenomenon in the distal left anterior descending artery (LAD) and subsequent development of a hemodynamically significant VSD. Notably, this case occurred during the COVID-19 pandemic, which added to the complexity of the patient's management...
July 2023: Curēus
https://read.qxmd.com/read/37448387/postinfarction-ventricular-septal-ruptures-during-the-covid-19-pandemic-two-case-series
#23
Nkechi A Okam, Jonathan Vargas, Mohamed Zakee Mohamed Jiffry, Mohammad A Ahmed-Khan, Felipe Carmona Pires, Uzochukwu Ibe
This case series highlights the occurrence of hemodynamically significant ventricular septal defects (VSDs) in two patients presenting with ST-elevation myocardial infarction (STEMI) during the COVID-19 pandemic. This paper aims to emphasize the delayed presentation of cardiac emergencies, such as STEMI, due to concerns about contracting COVID-19. This delay has led to an increased risk of rare complications, including VSD, associated with STEMI. The first case involves a 92-year-old male with a history of hypertension, hyperlipidemia, chronic kidney disease, and coronary artery disease...
June 2023: Curēus
https://read.qxmd.com/read/37332463/persistent-winking-coronary-sign-in-a-case-of-post-myocardial-infarction-ventricular-septal-rupture-after-device-closure
#24
Souvik Sarkar, Gajendra Agrawal, Satish Khadse, Anuj Chaturvedi
A winking coronary sign refers to the partial collapse of an artery situated over the ventricular septal rupture during systole and refilling of the same during diastole, which is seen as phasic filling and disappearance of the arterial segment during coronary angiography. In this article, we discuss the case of a patient who reported to the emergency department of a tertiary care hospital in central India with myocardial infarction of the anterior wall. Two-dimensional echocardiography and coronary angiography revealed ventricular septal rupture...
May 2023: Curēus
https://read.qxmd.com/read/37303539/transcatheter-closure-of-post-myocardial-infarction-ventricular-septal-defect-a-systematic-review-and-single-arm-meta-analysis
#25
REVIEW
Kang Yi, Chengfei Liu, Zhi Xu, Jianguo Xu, Xin Dong, Xin Zhang, Wenxin Wang, Jianing Ding, Tao You
BACKGROUND: Ventricular septal defects (VSDs) are one of the mechanical complications of acute myocardial infarction (AMI). Because of the high risks of mortality and postoperative complications, a new alternative method is needed. With the development of interventional medicine, transcatheter closure has been increasingly performed for postmyocardial infarction ventricular septal defects (PMIVSDs). The aim of this study is to explore the feasibility and safety of transcatheter closure of PMIVSDs by meta-analysis...
June 2023: Heliyon
https://read.qxmd.com/read/37295776/impella-5-5-support-before-during-and-after-surgical-ventricular-septal-defect-repair-a-bridge-continuum
#26
JOURNAL ARTICLE
Ioannis Dimarakis, Mackenzie Adcox, Jay D Pal, Maziar Khorsandi
INTRODUCTION: Post-infarction ventricular septal defect formation remains a formidable mechanical complication of acute myocardial infarction associated with increased morbidity and mortality. CASE PRESENTATION: We describe the case of a 72-year-old male who was admitted with post-myocardial infarction ventricular septal defect and cardiogenic shock. DISCUSSION: Impella 5.5 with SmartAssist as temporary left ventricular assist device provided sufficient support throughout multiple bridging episodes including failed percutaneous repair and subsequent definitive surgical repair...
June 9, 2023: Perfusion
https://read.qxmd.com/read/37182041/report-on-rare-complication-post-silent-myocardial-infarction-ventricular-septal-rupture
#27
Luna Thapa, Lucas Lemons
The advent of primary reperfusion therapy for the treatment of myocardial infarction (MI) has made mechanical complications rare. Mechanical complications include free wall rupture, papillary muscle rupture, left ventricular septal rupture, and more. In this case, we describe a 53-year-old patient who presented to the emergency department with complaints of shortness of breath, abdominal pain, urinary retention, and constipation. On exam, he was in mild distress and presented with jugular venous distension (JVD), bibasilar crackles, and diffuse abdominal pain with guarding...
April 2023: Curēus
https://read.qxmd.com/read/37124588/post-myocardial-infarction-ventricular-septal-rupture-protracted-hemolysis-due-to-missed-additional-ventricular-septal-defect
#28
Vivek Bagaria, Channabasavaraj Shivalingaiah Hiremath
UNLABELLED: Hemolysis is a known and usually self-limiting complication of transcatheter device closure of post-myocardial infarction ventricular septal rupture (VSR). Multiple defects, serpiginous pathways, friable margins, left ventricular aneurysms, and improper size of the device have been described as causes for persistent residual shunt across the device. We report a case of protracted hemolysis after device closure of VSR requiring surgical intervention. During device retrieval and patch closure, a muscular band was observed dividing the VSR into two, allowing residual shunt across the second defect...
May 2023: Indian Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/37124587/early-surgical-outcomes-of-a-modified-infarct-exclusion-technique-in-acute-post-myocardial-infarction-ventricular-septal-rupture-a-single-centre-experience
#29
JOURNAL ARTICLE
Pankaj Aggarwal, Sachin Mahajan, Vikram Halder, Vidur Bansal
INTRODUCTION: Operative mortality in an acute post-myocardial infarction (AMI) ventricular septal rupture (VSR) is high. In addition to ventricular dysfunction, friable myocardium adds to the technical difficulty of the operation. In a modified infarct exclusion technique, the right ventricle is left undisturbed and the free edge of the pericardial patch is incorporated in the sutures while closing the left ventriculotomy. This simplifies the procedure and decreases the chances of right ventricular dysfunction, any residual defect, and bleeding...
May 2023: Indian Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/36999326/percutaneous-treatment-of-left-main-coronary-artery-compression-in-a-pulmonary-artery-hypertension-patient-associated-with-atrial-septal-defect
#30
Muhammed Furkan Deniz, Mit Ya Ar Sinan, Ahmet Y Ld Z, Emir Bar Zg R K N, Mehmet Serdar K Ko Lu
Pulmonary arterial hypertension is still a fatal disease persisting with poor prognosis, despite all the advances in treatment (new agents and new combination strategies) in recent years. Patients present with di���erent symptoms which are not speci���c to the disease (dyspnea, angina, palpitation, and syncope). Angina may occur secondary to myocardial ischemia due to increased right ventricular afterload (oxygen supply and demand mismatch) or external compression on the left main coronary artery...
April 2023: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
https://read.qxmd.com/read/36977213/progressive-right-ventricular-obstruction-caused-by-a-double-chambered-right-ventricle-resulting-in-shunt-reversal-via-a-concomitant-congenital-ventricular-septal-defect-and-subsequent-erythrocytosis-in-a-dog
#31
Viktor Szatmári, Mark Dirven, Heike Aupperle-Lellbach
A 3-year-old Chihuahua was presented because of exercise intolerance, respiratory distress, and syncopal episodes. At the age of 10 weeks, the dog was diagnosed with a congenital small left-to-right shunting ventricular septal defect and a mild right ventricular outflow tract obstruction via echocardiography. At that time, the dog was asymptomatic, but the breeder's veterinarian heard a murmur. Both cardiac defects were judged to be clinically non-relevant at that time. However, at 3 years of age, echocardiography revealed a severe right ventricular obstruction, known as a double-chambered right ventricle, along with right-to-left shunting via the ventricular septal defect...
February 21, 2023: Veterinary Sciences
https://read.qxmd.com/read/36948458/post-infarction-ventricular-septal-defect-surgery-in-portugal
#32
JOURNAL ARTICLE
Pedro Magro, André Soeiro, Nuno Guerra, Gonçalo Coutinho, Pedro Antunes, Ângelo Nobre, José Neves, Miguel Sousa Uva
INTRODUCTION AND OBJECTIVE: We performed a collective analysis of a dedicated national post-myocardial infarction ventricular septal defect (VSD) registry to further elucidate controversial areas of this clinical entity's surgical treatment. METHODS: A descriptive statistical analysis was carried out and cumulative survival using the Kaplan-Meier method and multivariate logistic regression of risk factors for 30-day mortality are presented. RESULTS: Median survival of the cohort (n=76) was 72 months (95% CI 4-144 months)...
March 20, 2023: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://read.qxmd.com/read/36911812/assessment-of-post-infarct-ventricular-septal-defects-through-3d-printing-and-statistical-shape-analysis
#33
JOURNAL ARTICLE
Ashar Asif, Andrew Iu Shearn, Mark S Turner, Maria V Ordoñez, Froso Sophocleous, Ana Mendez-Santos, Israel Valverde, Gianni D Angelini, Massimo Caputo, Mark Ck Hamilton, Giovanni Biglino
BACKGROUND: Post-infarct ventricular septal defect (PIVSD) is a serious complication of myocardial infarction. We evaluated 3D-printing models in PIVSD clinical assessment and the feasibility of statistical shape modeling for morphological analysis of the defects. METHODS: Models (n = 15) reconstructed from computed tomography data were evaluated by clinicians (n = 8). Statistical shape modeling was performed on 3D meshes to calculate the mean morphological configuration of the defects...
March 2023: Journal of 3D Printing in Medicine
https://read.qxmd.com/read/36841941/transcatheter-closure-of-large-postinfarct-ventricular-septal-defect-initial-results-of-prototype-occlutech%C3%A2-device-including-the-first-in-human
#34
JOURNAL ARTICLE
Kuo Ting Lee, Demetris Taliotis, Mark Hamilton, Nathan Manghat, Radwa Bedair, Mark Turner
BACKGROUND: Postinfarct ventricular septal rupture is a serious complication in delayed or failed reperfusion with a grim prognosis. The optimal timing and treatment option remain debatable in the absence of randomized controlled trials. Percutaneous device closure is a well-reported and less invasive treatment option but recent imaging studies indicate that majority of defects are too large to be adequately covered by the currently Conformite Europeenne and Food and Drug Administration approved occluder devices...
February 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/36561773/incidence-management-and-prognosis-of-post-ischaemic-ventricular-septal-defect-insights-from-a-12-year-tertiary-centre-experience
#35
JOURNAL ARTICLE
Henri Treille de Grandsaigne, Frédéric Bouisset, Jean Porterie, Caroline Biendel, Bertrand Marcheix, Olivier Lairez, François Labaste, Meyer Elbaz, Michel Galinier, Clément Delmas
BACKGROUND: Among mechanical complications of acute myocardial infarction, ventricular septal defect (VSD) is uncommon but still serious. The evolution of emergency coronary revascularisation paradoxically decreased our knowledge of this disease, making it even rarer. AIM: To describe ischaemic VSD incidence, management, and associated in-hospital and 1-year outcomes over a 12-years period. METHODS: A retrospective single-centre register of patients managed for ischaemic VSD between January 2009 and December 2020...
2022: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/36541675/massive-post-infarction-ventricular-septal-rupture-complicaing-cardiogenic-shock-with-long-term-veno-arterial-extracorporeal-membrane-oxygenation-support
#36
JOURNAL ARTICLE
Wei Wang, Ying Feng, Xin Lin, Xiangyang Wu, Gang Chen, Ruchao Ma, Xinqiang Guan
INTRODUCTION: Ventricular septal rupture (VSR) following acute myocardial infarction (AMI) is a rare but serious complication often causing cardiogenic shock (CS). The timing of surgery is a difficult problem for surgeons because of high mortality and surgical complexity. We present a case of successful use of extracorporeal membrane oxygenation (ECMO) for maintaining haemodynamic stability preoperative and delaying surgical repair of VSR patient in severe CS. CASE REPORT: A 57-year-old man with AMI complicated by severe CS due to an massive VSR...
December 21, 2022: Perfusion
https://read.qxmd.com/read/36478105/single-arterial-access-closure-of-post-infarction-ventricular-septal-defect-a-case-series
#37
JOURNAL ARTICLE
Ata Doost, Ahmed Chilmeran, Arionilson Gomes, Rafal Dworakowski, Mehdi Eskandari, Philip MacCarthy, James Cockburn, Jonathan Byrne, David Hildick-Smith
BACKGROUND: Post-infarction ventricular septal defect (PIVSD) carries a very poor prognosis. Surgical repair offers reasonable outcomes in patients who survive the initial healing period. Percutaneous device implantation remains a potentially effective earlier alternative. METHODS AND RESULTS: From March 2018 to May 2022, 11 trans-arterial PIVSD closures were attempted in 9 patients from two centers (aged 67.2 ± 11.1 years; 77.8% male). Two patients had a second procedure...
January 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/36378912/management-and-outcomes-of-ventricular-septal-defects-after-acute-myocardial-infarction-a-multicenter-retrospective-study
#38
JOURNAL ARTICLE
Pierre-Guillaume Piriou, Patrice Guerin, Julien Plessis, Thomas Senage, Thibaut Manigold, Vincent Auffret, Romain Didier, Robin Le Ruz, Charles-Henri David, Jean-Christian Roussel, Vincent Letocart
BACKGROUND AND AIM: The mortality rate of patients with post-myocardial infarction (MI) ventricular septal defects (VSDs) is high, and the benefit of surgery is unclear. We aimed to investigate the management and outcomes of post-MI VSD over a 10-year period in a large cohort. METHODS: Data of patients with post-MI VSD admitted in three French university hospitals from 2008 to 2019 were examined. The characteristics of those who underwent surgery were compared with those who received medical treatment...
November 15, 2022: Journal of Cardiac Surgery
https://read.qxmd.com/read/36369118/point-of-care-ultrasound-diagnosis-of-ventricular-septal-rupture-post-myocardial-infarction-a-case-report
#39
JOURNAL ARTICLE
Catherine Kirbos, Justine Pagenhardt, Joseph Minardi, Bradley End
BACKGROUND: Ventricular septal rupture (VSR) is a rare but life-threatening complication of ST-elevation myocardial infarction. Point-of-care ultrasound (POCUS) is a rapid, noninvasive imaging modality that is easily accessible and highly effective in diagnosing VSR in the emergency department (ED) setting. CASE REPORT: A 73-year-old man with a history of type II diabetes mellitus and hypertension presented with complaints of intermittent chest pain for 48 h that had since become constant, associated with diaphoresis and shortness of breath...
December 2022: Journal of Emergency Medicine
https://read.qxmd.com/read/36124729/post-infarction-ventricular-septal-defect-percutaneous-or-surgical-management-in-the-uk-national-registry
#40
JOURNAL ARTICLE
Joel P Giblett, Andrija Matetic, David Jenkins, Choo Y Ng, Shreenidhi Venuraju, Tobias MacCarthy, Jonathan Vibhishanan, John P O'Neill, Bilal H Kirmani, D Mark Pullan, Rod H Stables, Jack Andrews, Nicolas Buttinger, Wan Cheol Kim, Ritesh Kanyal, Megan A Butler, Robert Butler, Sudhakar George, Ayush Khurana, David S Crossland, Jakub Marczak, William H T Smith, John D R Thomson, James R Bentham, Brian R Clapp, Mamta Buch, Nicholas Hayes, Jonathan Byrne, Philip MacCarthy, Suneil K Aggarwal, Leonard M Shapiro, Mark S Turner, Joe de Giovanni, David B Northridge, David Hildick-Smith, Mamas A Mamas, Patrick A Calvert
AIMS: Post-infarction ventricular septal defect (PIVSD) is a mechanical complication of acute myocardial infarction (AMI) with a poor prognosis. Surgical repair is the mainstay of treatment, although percutaneous closure is increasingly undertaken. METHODS AND RESUTS: Patients treated with surgical or percutaneous repair of PIVSD (2010-2021) were identified at 16 UK centres. Case note review was undertaken. The primary outcome was long-term mortality. Patient groups were allocated based upon initial management (percutaneous or surgical)...
December 21, 2022: European Heart Journal
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