Strategy of delayed surgery for ventricular septal perforation after acute myocardial infarction
نویسندگان
چکیده
منابع مشابه
Ventricular septal rupture after acute myocardial infarction.
Ventricular septal rupture is a rare complication of acute myocardial infarction with important hemodynamic consequences. Spontaneous closure is extremely rare. Without a rapid diagnosis and correction by surgical intervention, the short-term mortality of these patients is higher than 90%. We report the case of a patient with acute myocardial infarction and a ventricular septal rupture that was...
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In the era before reperfusion therapy, ventricular septal rupture complicated 1approximate3% of acute myocardial infarctions (AMI) usually 3-5 days after onset. Studies have reported a positive correlation between the incidence of septal perforation and total occlusion of the coronary arteries. A 70-year old female patient was referred to the emergency room with the diagnosis of acute anterior ...
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Ventricular septal rupture is still a rare but often fatal complication of acute myocardial infarction. Emergent surgical closure of postinfarction ventricular septal rupture irrespective of the clinical status has been the standard treatment so far. A percutaneous approach using an occluder device is a less invasive option and allows immediate complete closure after initial hemodynamic stabili...
متن کاملManagement of ventricular septal rupture in acute myocardial infarction.
Four patients with rupture of the interventricular septum after myocardial infarction are described. This condition carries a grave prognosis. Surgical repair of the septum is almost always urgently required if the left-to-right shunt is large (QP/WS > 3). Results are better if surgery can be deferred for six weeks to allow the infarcted area to heal and the tissues to be come firmer. This dela...
متن کاملVentricular Septal Defect and Left Ventricular Aneurysm After Acute Myocardial Infarction
The combination of an acute ventricular septal defect (VSD) and left ventricular aneurysm (LVA) is a rare, life-threatening complication which usually occurs within the first week following acute myocardial infarcttion (AMI). We describe the case of an apical VSD and LVA in a 77-year-old diabetic and dyslipidemic male patient after anterior AMI. The patient was an active smoker and had a histor...
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ژورنال
عنوان ژورنال: Journal of Cardiology
سال: 2018
ISSN: 0914-5087
DOI: 10.1016/j.jjcc.2017.10.016