Emergency surgical closure of postinfarction ventricular septal defect on the beating heart.
نویسندگان
چکیده
We present a 77-year-old female with recent myocardial infarction complicated by antero-apical ventricular septal defect (VSD) and quick development of low cardiac output. Using interrupted horizontal mattress sutures VSD closure was successfully performed on the beating heart. Transthoracic echocardiography at the four-month follow-up did not reveal residual VSD.
منابع مشابه
Transcatheter closure of a residual postmyocardial infarction ventricular septal defect with the Amplatzer septal occluder.
Acute ventricular septal rupture following myocardial infarction carries a high mortality. Early surgery improves survival but long term outcome depends on residual shunting and left ventricular function. Residual shunting is common despite apparently successful closure and may require reoperation. Transcatheter closure is an established method of treating selected congenital defects but clinic...
متن کاملTranscatheter Closure of a Large Postinfarction Ventricular Septal Defect Complicated With Perforation of Ventricular Aneurysm
Ventricular septal defect concurrent with left ventricular aneurysm is unusual in postinfarction patients. The complex anatomy is challenging for occluder deployment in transcatheter closure and associated with high risk of aneurysm perforation. We present a case of transcatheter closure of a large postinfarction ventricular septal defect with an Amplatzer septal occluder in a 71-year-old woman...
متن کاملPercutaneous closure of postinfarction ventricular septal defect: in-hospital outcomes and long-term follow-up of UK experience.
BACKGROUND Postinfarction ventricular septal defect carries a grim prognosis. Surgical repair offers reasonable outcomes in patients who survive a healing phase. Percutaneous device implantation represents a potentially attractive early alternative. METHODS AND RESULTS Postinfarction ventricular septal defect closure was attempted in 53 patients from 11 centers (1997-2012; aged 72±11 years; 4...
متن کاملTranscatheter Closure of Postinfarction Ventricular Septal Defect: A Case Report and Review of Literature
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 ...
متن کامل[Transcatheter closure of postinfarction ventricular septal defects using Amplatzer devices].
We carried out transcatheter procedures to close postinfarction ventricular septal defects (PIVSDs) in 19 patients: two had recanalization after surgical closure, and 17 had a primary PIVSD. In three of the latter patients, who had acute PIVSDs, the procedure was carried out in the first 3 weeks after infarction; in the 13 patients with subacute PIVSD, it was carried out 3.5-12 weeks after infa...
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ورودعنوان ژورنال:
- Interactive cardiovascular and thoracic surgery
دوره 6 2 شماره
صفحات -
تاریخ انتشار 2007