521 results match your criteria: "Ventricular Septal Rupture Following Myocardial Infarction"
Successful surgical management of ventricular septal perforation following left ventricular free wall rupture due to acute myocardial infarction: a case report.
Gen Thorac Cardiovasc Surg Cases
February 2024
Department of Cardiovascular Surgery, Hamamatsu Rousai Hospital, 25 Shogen-Cho, Higashi-Ku, Hamamatsu-Shi, Shizuoka-Ken, 430-8525, Japan.
Background: The mechanical complications associated with acute myocardial infarction can be fatal. We report a life-saving case of a very elderly patient with consecutive mechanical complications of acute myocardial infarction.
Case Presentation: A 90-year-old woman was transferred to our hospital for emergency care due to chest pain.
Early Ventricular Septal Rupture following Acute Myocardial Infarction Diagnosed on Left Ventriculogram.
US Cardiol
June 2024
Department of Cardiovascular Medicine, Cleveland Clinic Main Campus Cleveland, OH.
Effect of Delayed Surgery for Ventricular Septal Rupture on Postoperative Outcomes.
Cureus
August 2024
Department of Cardiothoracic Surgery, Sakakibara Heart Institute, Tokyo, JPN.
Article Synopsis
CLINICAL OUTCOMES OF PATIENTS WITH CARDIOGENIC SHOCK COMPLICATING ACUTE MYOCARDIAL INFARCTION: THE GULF-CARDIOGENIC SHOCK REGISTRY.
Shock
October 2024
Department of Cardiovascular Medicine, University of Massachusetts Chan Medical School-Baystate Medical Center, Springfield, Massachusetts.
Article Synopsis
- This study focused on acute myocardial infarction complicated by cardiogenic shock (AMI-CS) in the Gulf region, addressing a lack of data by analyzing 1,513 patients from 2020 to 2022.
- The incidence of AMI-CS was found to be 4.1%, with a high in-hospital mortality rate of 45.5%, and patients primarily presented with ST-elevation MI.
- Key risk factors for increased hospital mortality included previous coronary artery bypass grafts, chronic kidney disease, and SCAI shock stages D and E, with a 12-month survival rate of 51.49%.*
Delayed ventricular septal rupture complicated with ventricular aneurysm in a case of myocardial infarction with non-obstructive coronary arteries.
BMC Cardiovasc Disord
August 2024
Department of Cardiology, West China Hospital, Sichuan University, 37 Guoxue Road, Chengdu, 610041, China.
Article Synopsis
- Myocardial infarction with non-obstructive coronary arteries (MINOCA) is a rare condition that can lead to serious post-discharge complications, yet often goes unnoticed in patients with normal angiography results.
- A case study of a 65-year-old woman illustrates the risks associated with MINOCA, as she developed a ventricular septal rupture (VSR) and ventricular aneurysm two weeks after an initial heart attack, despite having normal coronary arteries.
- Effective management of MINOCA requires both cardioprotective treatments and specific therapies targeting potential underlying causes to prevent severe complications.
Angiotensin converting enzyme inhibitor and coenzyme Q10 as adjunctive treatment for patients with ventricular septal rupture following late onset myocardial infarction: a case report.
J Pak Med Assoc
June 2024
Department of Anaesthesiology & Reanimation, Universitas Airlangga, Dr Soetomo General Hospital, Indonesia.
Article Synopsis
- Ventricular Septal Rupture (VSR), a serious complication of acute myocardial infarction, poses significant treatment challenges, especially in hospitals with limited resources.
- A case study of a 74-year-old woman revealed that she developed VSR after an acute myocardial infarction, presenting with severe symptoms and requiring vasopressors for blood pressure support.
- The introduction of lisinopril and coenzyme Q10 improved her hemodynamics over three months, suggesting these medications can aid in tissue healing and enhance survival in patients unable to undergo surgery.
Left ventricular unloading therapy using Impella 5.5 after emergency surgery for acute myocardial infarction mechanical complication: a case report.
J Cardiothorac Surg
June 2024
Department of Cardiovascular Surgery, Kanazawa University, 13-1 Takaramachi, Kanazawa, 920-8641, Japan.
Article Synopsis
- Following acute myocardial infarction (AMI), the surgical risks for left ventricular free wall rupture (LVFWR) and ventricular septal rupture (VSR) remain high, necessitating effective LV unloading to prevent complications.
- Two case studies are presented where the Impella 5.5 device was utilized for LV unloading after emergency surgeries on a 76-year-old and an 84-year-old patient experiencing AMI complications.
- These cases demonstrated the successful use of Impella 5.5 in reducing LV wall tension and led to improved postoperative outcomes, despite complications like cerebral hemorrhage in the first case.
Trends in the incidence, mortality and clinical outcomes in patients with ventricular septal rupture following an ST-elevation myocardial infarction.
Coron Artery Dis
December 2024
Division of Cardiology, Department of Medicine.
Article Synopsis
- Ventricular septal rupture (VSR) occurs in a small percentage of patients after ST elevation myocardial infarction (STEMI), with an in-hospital mortality rate of about 73.6%.
- From 2009 to 2020, a significant demographic study found that most patients experiencing VSR were older, predominantly white females, and surgery for repair was infrequently performed.
- It was noted that delaying surgical intervention until at least four days post-injury correlated with lower mortality rates, even though overall management strategies haven’t improved significantly over time.
A Surviving Case of Myocardial Infarction with Ventricular Septal Rupture and Ventricular Aneurysm following Gastrointestinal Bleeding.
Int Heart J
May 2024
Department of Cardiology, National Center for Global Health and Medicine.
Article Synopsis
- * Despite initial conservative treatment, his condition worsened requiring surgical intervention, including closure of the ventricular septal defect and suturing of the aneurysm.
- * After the surgery, his health improved significantly, allowing him to be discharged after 23 days, highlighting the importance of proper hemodynamic management and awareness of potential heart risks following gastrointestinal issues.
Current Understanding of Timing of Surgical Repair for Ventricular Septal Rupture following Acute Myocardial Infarction.
Cardiology
December 2024
Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Article Synopsis
- Ventricular septal rupture (VSR) can occur after a heart attack and has a high mortality rate, requiring quick, coordinated medical intervention.
- Despite advancements in treatment, the 30-day mortality rate remains over 40%, with surgery being the main method of care.
- There are currently no established guidelines on when to perform surgery for patients with VSR and unstable blood flow, leaving timing a contentious issue among medical professionals.
Successful repair of recurrent ventricular septal perforation after myocardial infarction using double patch technique via right ventriculotomy: a case report.
J Cardiothorac Surg
April 2024
Department of Surgery, Graduate School of Biomedical & Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, Hiroshima, 734-8553, Japan.
Article Synopsis
- Post-myocardial infarction ventricular septal perforation (VSP) is a rare but serious condition that can occur after a heart attack, complicating recovery with significant surgical risks.
- A 65-year-old man experienced recurrent VSP despite previous surgical repair, with the first and second procedures utilizing the bovine double patch technique through different surgical approaches.
- The case highlights the need for improved techniques and strategies in managing recurrent VSPs, emphasizing the importance of further research in this area.
Echocardiography in the Recognition and Management of Mechanical Complications of Acute Myocardial Infarction.
Curr Cardiol Rep
May 2024
Division of Cardiology, New York University Grossman School of Medicine, 550 First Avenue, New York, NY, 10016, USA.
Article Synopsis
- Mechanical complications after an acute myocardial infarction are rare but can greatly increase the risk of severe health issues and death, necessitating thorough clinical assessment.
- This review covers the symptoms, diagnostic approaches, and treatment options for these complications, with a highlight on the use of echocardiography as a key diagnostic tool.
- Recent advances in percutaneous structural interventions offer non-surgical treatment options, and understanding various echocardiographic techniques is crucial for effectively managing these complications and improving patient outcomes.
[Giant Left Ventricular Aneurysm After Double Patch Closure of Ventricular Septal Perforation Through Right Ventriculotomy].
Kyobu Geka
February 2024
Department of Cardiovascular Surgery, Akashi Medical Center, Akashi, Japan.
Article Synopsis
Blood perfusion status is important in the prognosis of ventricular aneurysm complicated by ventricular septal rupture.
ESC Heart Fail
June 2024
Department of Cardiac Surgery, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Article Synopsis
Structural Complications Following ST-Elevation Myocardial Infarction: An Analysis of the National Inpatient Sample 2016 to 2020.
J Cardiovasc Dev Dis
February 2024
Division of Interventional Cardiology, Cardiovascular Diseases Department, University Hospital of Split, 21000 Split, Croatia.
Article Synopsis
[A man in his sixties with dyspnoea and systolic murmur after myocardial infarction].
Tidsskr Nor Laegeforen
February 2024
Hjerteavdelingen, Sykehuset i Vestfold, og, Heart Institute, University of Ottawa.
Article Synopsis
- Ventricular septal rupture (VSR) is a rare but serious complication after heart attacks, and its symptoms can vary widely, highlighting the need for careful clinical evaluation.
- A middle-aged man with no prior heart issues experienced heart failure symptoms while abroad; tests revealed a small area of heart damage, but it wasn't initially linked to a major heart condition.
- Ultimately, he was diagnosed with a large VSR after further investigations showed a significant defect, leading to successful surgical repair, emphasizing that VSR can occur even after minor heart events and that new heart murmurs should not be overlooked.
Long-term survival after surgical treatment for post-infarction mechanical complications: results from the Caution study.
Eur Heart J Qual Care Clin Outcomes
December 2024
Department of Cardiothoracic Surgery, Heart and Vascular Centre, Maastricht University Medical Centre, Maastricht, The Netherlands.
Article Synopsis
- Mechanical complications (MCs) following acute myocardial infarction (AMI) are rare but serious, with surgery being the recommended treatment; this study evaluated outcomes of patients who underwent such surgeries from 2001 to 2019.
- Among 720 patients analyzed, the average age was 70, with the majority being male; the most frequent complication was ventricular septal rupture, leading to a significant in-hospital mortality rate of 37.4%.
- Despite high immediate mortality, long-term survival rates for hospital survivors were promising, showing 65.7% survival at 10 years, with older age and postoperative low cardiac output syndrome being key factors influencing overall mortality.
Multicentre short- and medium-term report on the device closure of a post-myocardial infarction ventricular septal rupture - In search of risk factors for early mortality.
Int J Cardiol
April 2024
Department of Pediatric Cardiology and Congenital Heart Defects, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Silesian Center for Heart Diseases, Zabrze, Poland.
Article Synopsis
- Post-myocardial infarction ventricular septal rupture (VSR) is a serious complication that can lead to high early mortality, with a study analyzing 46 patients treated from 2000-2020 to identify risk factors and outcomes.
- The study found that the success rate for VSR closure was 78.3%, but notable complications and early deaths occurred, particularly in older patients or those needing additional support like intra-aortic balloon pump.
- Despite a challenging early period, survivors had a 5-year survival rate of 57.1% and significant improvement in heart function was observed in most patients at follow-up.
Up against the wall - emergency double myocardial rupture repair.
J Cardiothorac Surg
January 2024
University Hospitals Plymouth NHS Trust, Plymouth, UK.
Article Synopsis
- - Left ventricular free wall rupture (LVFWR) and interventricular septal rupture (VSR) can occur after a heart attack (AMI) and when they happen together, it's known as double myocardial rupture (DMR), with extremely low survival chances (only 0.3% occurrence rate).
- - A 57-year-old male presented with a serious heart condition five days after chest pain, diagnosed with a STEMI and DMR; he underwent emergent surgery, including a mitral valve replacement, and faced significant postoperative challenges.
- - Remarkably, he recovered well over 66 days in the hospital, returning home after 88 days, thanks to his resilience, supportive family, and effective teamwork among medical
Surgical repair of left ventricular free-wall rupture complicating acute myocardial infarction: a single-center 30 years of experience.
Front Cardiovasc Med
January 2024
Cardiac Surgery Unit, ASST dei Sette Laghi, Department of Medicine and Surgery, University of Insubria, Varese, Italy.
Article Synopsis
- - Left ventricular free-wall rupture (LVFWR) is a serious complication following acute myocardial infarction (AMI), with surgery being the typical treatment, though limited data exists on its effectiveness and safety over time.
- - The study analyzed 35 patients who underwent surgical repair for LVFWR from 1990 to 2019, revealing an in-hospital mortality rate of 28.6% and identifying age over 75, preoperative cardiac arrest, and concurrent ventricular septal rupture as key risk factors for early death.
- - Follow-up showed that among survivors, long-term survival rates were promising, with 82.5% surviving at 3 years and 55.2% at 12 years, suggesting that while the
Intra-aortic balloon pump still has a role in late-onset myocardial infarction complicated by ventricular septal rupture with intractable heart failure: a case report.
J Med Case Rep
January 2024
Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga-Dr. Soetomo General Academic Hospital, Surabaya, East Java, 60286, Indonesia.
Article Synopsis
Post-Infarction Ventricular Septal Defect: A quarter century experience.
Sultan Qaboos Univ Med J
December 2023
Medicine Department, The Royal Hospital, Muscat, Oman.
Article Synopsis
- Post-infarction ventricular septal defect (VSD) is a serious complication following a heart attack, prompting a study on the outcomes of surgical repairs done in Oman from 1996 to 2020.
- Among the 75 patients studied, nearly half (45.3%) died within 30 days post-surgery, with 5-year survival rates at 41.3% and 10-year survival at 33.3%.
- Key factors influencing early mortality included the extent of coronary involvement, the presence of a residual shunt, and postoperative complications like renal failure, indicating that outcomes remain challenging despite surgical intervention.
Utility of Konar-Multifunctional Occluder in Complex Situations: Unconventional Uses in Rare Situations.
Pediatr Cardiol
January 2024
Department of Cardiology, Metromed International Cardiac Centre, Calicut, Kerala, India.
Article Synopsis
- - The KONAR-MFO is a versatile medical device first used in humans in 2013 that offers flexibility and improved delivery, making it suitable for both pediatric and adult patients with complex heart defects.
- - This study reviews three rare cases treated with the KONAR-MFO for conditions like ALCAPA, post-myocardial infarction VSR, and PVL after mitral valve replacement, all of which showed excellent outcomes within a year.
- - Follow-ups indicated complete closure of lesions without major complications, highlighting successful transcatheter management for patients deemed high-risk for surgery.
Delayed Giant Pseudoaneurysm With Left-to-Right Shunt Following Postinfarct Ventricular Septal Perforation Repair.
Tex Heart Inst J
December 2023
Department of Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, Japan.
Article Synopsis
- A 77-year-old man with heart failure developed a rare left ventricular pseudoaneurysm with a left-to-right shunt after heart surgery for a previous heart issue.
- The pseudoaneurysm formed 16 months post-surgery, with some blood leaking into the right ventricle, and required surgical intervention due to his symptoms.
- Despite the high risks associated with such surgeries, the patient had a successful operation and was discharged just 13 days later, showing no abnormalities during follow-up.
Role of ECLS in Managing Post-Myocardial Infarction Ventricular Septal Rupture.
J Cardiovasc Dev Dis
October 2023
Department of Cardiovascular Surgery, University Heart Center Freiburg-Bad Krozingen, 79106 Freiburg, Germany.
Article Synopsis
- The study focused on outcomes of patients undergoing surgery for ventricular septal rupture (VSR) after a heart attack, specifically analyzing the preoperative use of extracorporeal life support (ECLS) as a temporary support method.
- A total of 47 patients were evaluated, with 25 receiving ECLS and 22 not; results showed that ECLS patients had more preoperative complications and higher postoperative bleeding, but similar rates of in-hospital mortality and long-term outcomes compared to those without ECLS.
- The conclusion suggests that while ECLS is beneficial as a supportive therapy in cases of cardiogenic shock due to VSR, it does not significantly impact overall mortality rates compared to standard care without ECLS