scholarly journals Acute anterior myocardial infarction complicated by a large ventricular septal defect

2021 ◽  
Vol 2 (3) ◽  
Author(s):  
Yi Ming ◽  
◽  
Cao Qian ◽  
Liu Qiang ◽  
◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Rare Complication ◽  
Alternative Therapy ◽  
Acute Stage ◽  
Anterior Myocardial Infarction ◽  
Subacute Stage ◽  
Interventional Closure ◽  
Septal Occluder Device

Post-Infarction Ventricular Septal Defect (PIVSD) are a rare complication of Acute Myocardial Infarction (AMI). According to clinical guidelines, surgical repair of a PIVSD is the recommended acute-stage course of treatment. Nevertheless, thoracotomy is not always clinically suggested for patients with unstable hemodynamics and otherwise at high risk. Currently, percutaneous interventional closure of a PIVSD represents an alternative therapy, and an attractive option for particular patients [1,2]. Here we report a 67-year-old man was transferred to Shenzhen Sun yat-sen Cardiovascular Hospital to evaluate a PIVSD and undergo repair. Echocardiography confirmed a large Ventricular Septal Defect (VSD) and significant left-to-right shunt (Figure 1a). Few reports of the closure of a PIVSD at an acute/subacute stage have been previously published. An interventional closure treatment (Amplatzer Septal Occluder device) was successfully performed after bridging to a subacute stage through use of mechanical circulatory backup (Figure 1b).

Clinical and electrocardiographic variables associated with increased risk of ventricular septal defect in acute anterior myocardial infarction

2000 ◽  
Vol 86 (8) ◽  
pp. 830-834 ◽  
Author(s):  
Yochai Birnbaum ◽  
Galen S Wagner ◽  
Kathy B Gates ◽  
Trevor D Thompson ◽  
Gabriel I Barbash ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Anterior Myocardial Infarction ◽  
Increased Risk

scholarly journals An endoscopic repair of residual post-myocardial infarction ventricular septal defect

2020 ◽  
Vol 31 (4) ◽  
pp. 580-582
Author(s):  
Grzegorz Laskawski ◽  
Abdelrahman Abdelbar ◽  
Joseph Zacharias
Keyword(s):  
Myocardial Infarction ◽  
Heart Disease ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Surgical Repair ◽  
Disease Incidence ◽  
Post Myocardial Infarction ◽  
Minimal Access ◽  
Endoscopic Repair ◽  
Interventional Closure

Abstract Post-myocardial infarction (MI) ventricular septal defect (VSD) is a serious condition that is, fortunately, less diagnosed nowadays due to the advances in early diagnosis and treatment of ischaemic heart disease (incidence 1–2%). Despite the lower mortality of both surgical and interventional closure of the defect (25%) as compared to medical therapy (40–50%), there are still risks of residual leak in both approaches. Herein, we describe a case of a successful endoscopic-assisted repair of a delayed residual leak post-MI VSD after surgical repair. An attempt for interventional closure of the leaking point had failed; an endoscopic-assisted minimal access closure was successfully performed.

scholarly journals Challenges in treatment of postinfarction ventricular septal defect and heart failure

2015 ◽  
Vol 72 (1) ◽  
pp. 68-71 ◽  
Author(s):  
Ljupco Mangovski ◽  
Rainer Kozlik-Feldmann ◽  
Miodrag Peric ◽  
Ljiljana Jovovic ◽  
Mihajlo Farkic ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Coronary Angiography ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Left Ventricular ◽  
Mechanical Complication ◽  
Surgical Closure ◽  
Direct Stenting ◽  
Septal Occluder Device

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. Transthoracic echo exam revealed aneurysm of a very thin inferior septum and the basal portion of the inferior left ventricular wall, with septal wall rupture. One of the VSD dimensions was 15 mm and left- to right shunt was calculated 2 : 1. Since the patient was at too high risk for surgical closure, transcatheter closure of VSD was chosen as a better option. Under short intravenous sedation, 24 mm Amplatzer device was implanted percutaneously with transesophageal echo guidance. The post-procedural result revealed a small residual shunt, but it was followed by significant improvement of the patient?s clinical status. A 24h Holter ECG monitoring did not show cardiac rhythm or conduction disturbances. Coronary angiography was repeated ten days following the procedure, after hemodynamic stabilization of the patient, with direct stenting of the circumflex artery and the intermediate artery. Ostial left descending artery lesion was left for further functional significance assessment. Conclusion: Percutaneous closure with a septal occluder device can be definitive primary treatment for anatomically suitable patients or it can serve as a bridge to surgical treatment.

scholarly journals A Rare Complication of Myocardial Infarction: Ventricular Septal Defect

Cureus ◽  
2020 ◽  
Author(s):  
Sherif Elkattawy ◽  
Ramez Alyacoub ◽  
Muhammad Atif Masood Noori ◽  
Afrah Talpur ◽  
Karim Khimani
Keyword(s):  
Myocardial Infarction ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Rare Complication

scholarly journals Hepatic and Renal Failure after Anterior Myocardial Infarction Induced Apical Ventricular Septal Defect

2010 ◽  
Vol 2010 ◽  
pp. 1-3
Author(s):  
Dirk Lossnitzer ◽  
Vedat Schwenger ◽  
Stephanie Lehrke ◽  
Evangelos Giannitsis ◽  
Martin Zeier ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Renal Failure ◽  
Ventricular Septal Defect ◽  
Heart Surgery ◽  
Septal Defect ◽  
Anterior Myocardial Infarction ◽  
Catheter Drainage ◽  
Stent Restenosis ◽  
Post Surgery ◽  
Congestive Liver

We report the case of a 68-year-old man suffering from incremental hepatic and renal failure one month after anterior myocardial infarction. Cardiac MRI showed a pronounced apical post-AMI aneurysm, a moderate to severe mitral and tricuspid regurgitation as well as a hemodynamically highly significant 12 mm apical ventricular septal defect with a left-to-right ventricular shunt of almost 63% as the underlying cause. Heart X-ray revealed a severe LAD in-stent restenosis. CAPD catheter drainage of hydroperitoneum due to congestive liver and renal failure was provided in combination with intensified CAPD hemodialysis. Heart surgery was performed where the apical aneurysm was excised, the mitral valve was reconstructed, the IVSD was closed and the subtotally in-stent occluded LAD was bypassed. Post-surgery, the ascites were significantly reduced, and CAPD hemodialysis therapy could be terminated since the renal function gradually improved (MDRD = 25 mL/min). To our knowledge, for the first time we report successful CAPD catheter drainage of hydroperitoneum in combination with CAPD hemodialysis.

The hemodynamic simulation of mitral regurgitation in ventricular septal defect after myocardial infarction

1976 ◽  
Vol 2 (1) ◽  
pp. 97-104 ◽  
Author(s):  
Charles F. Bethea ◽  
Robert H. Peter ◽  
Victor S. Behar ◽  
James R. Margolis ◽  
Joseph A. Kisslo ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Mitral Regurgitation ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Hemodynamic Simulation
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