Ventrıcular Septal Rupture Secondary to Inferıor Myocardial Infarctıon

Yıldırım, Alp; Avcı, Sema; Kızılgöz, Berihat; Vural, Aslı; Altınbaş, Mehmet Eren; Kahraman, Ferdi

doi:10.17140/emoj-3-136

Cited by 2 publications

(2 citation statements)

References 7 publications

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“…Women are more common victims than man 4 . Post infarct VSR is very common among asymptomatic patients without any history of Coronary Artery Disease (CAD) 5 . This patient was of the same nature and had a massive MI with the development of VSR, detected 14 days after the incident while getting medical management at hospital.…”

Section: Discussionmentioning

confidence: 99%

Repair of Post-Infarction Ventricular Septal Rupture and Ventricular Aneurysm: A Case Report

Das,

Rahman,

Hossain

et al. 2023

Eastern Med. Coll. J.

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Ventricular septal rupture is one of the fatal complications of acute myocardial infarction. With the advancement of medical management and availability of emergency cardiac care, the incidence of post infarct ventricular septal rupture has reduced considerably. We report a case, unique in being a late presentation of post infarct ventricular septal rupture with left ventricular aneurysm. The Ventricular septal rupture was repaired using a PTFE patch, followed by reinforced linear closure of aneurysm by a glutaraldehyde treated pericardial felt and revascularization using reversed saphenous vein graft to left anterior descending artery. The patient survived surgery with an uneventful postoperative course. Eastern Med Coll J. July 2023; 8 (2):75-77

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Section: Discussionmentioning

confidence: 99%

Repair of Post-Infarction Ventricular Septal Rupture and Ventricular Aneurysm: A Case Report

Das,

Rahman,

Hossain

et al. 2023

Eastern Med. Coll. J.

View full text Add to dashboard Cite

show abstract

“…ECG can show the location of infarction, thus predicting the location of VSR. You can also find branch block due to damage to conduction pathway in the interventricular septum [3,8,18] . The gold standard for diagnosing VSR is those with sudden hemodynamic instability and suspicion of VSR.…”

Section: Discussionmentioning

confidence: 99%

Ventricular Septal Rupture (VSR) in Post-Acute Anterior Myocardial Infarction Patients : A Case Series

Kawilarang¹,

Hermawan²,

Hartono³

2022

CCJ

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Case Summary: We present 2 cases of post-STEMI VSR. They had anterior AMI without reperfusion therapy because of patient delay and limited resources. Thereafter apical VSR occurs on 5th day. VSR was suspected because of sudden hemodynamic deterioration and new holosystolic murmur (Grade III/VI) at left parasternal line of fourth-fifth ICS. Then it was confirmed by echocardiography. Both patients underwent hemodynamic stabilization while waiting for surgical therapy. Unfortunately, they deceased because of cardiogenic shock accompanied by other comorbidities. Discussion: VSR causes shunt from left to the right ventricle, which overloads the RV, leading to cardiogenic shock. The peak incidence of VSR in the first 24 hours or 3-5 days post-AMI. This fits both of our cases. VSR occurs in total coronary occlusion, which then causes coagulation necrosis in the ischemic area, characterized by neutrophils that trigger apoptosis and lytic enzymes, so that septum becomes thin, brittle then ruptures. VSR is most common in anterior AMI and the defect is at apical septum, as in our patients. Definitive therapy for VSR is surgical closure, but the best timing is still under debate. This article is expected to make us more aware of post-AMI VSR, so we can quickly diagnose and promptly treat the patients with multidisciplinary approach. This is very important to optimize patient’s outcomes even in limited resources area.

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Ventrıcular Septal Rupture Secondary to Inferıor Myocardial Infarctıon

Cited by 2 publications

References 7 publications

Repair of Post-Infarction Ventricular Septal Rupture and Ventricular Aneurysm: A Case Report

Repair of Post-Infarction Ventricular Septal Rupture and Ventricular Aneurysm: A Case Report

Ventricular Septal Rupture (VSR) in Post-Acute Anterior Myocardial Infarction Patients : A Case Series

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