Postinfarction Ventricular Septal Rupture: Identification of the Failure Mechanism of a Percutaneous Closure Procedure
Resumen:
Ventricular septal rupture (VSR) is a rare but highly lethal (∼60%) mechanical complication of myocardial infarction (MI). Although surgical repair has been the gold standard to correct the structural anomaly, percutaneous closure of the defect may represent a valuable therapeutic alternative, with the advantage of immediate shunt reduction to prevent further hemodynamic deterioration in patients with prohibitive surgical risk. Nonetheless, catheter-based VSR closure has faced certain drawbacks that have hampered its application. We describe a clinical case of postinfarction VSR treated with a percutaneous closure device and discuss the procedure's failure mechanism. (Level of Difficulty: Intermediate.).
| 2022 | |
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ADS, Atrial septal defect CMR, Cardiac magnetic resonance CT, Computed tomography IABP, Intra-aortic balloon pump LAD, Left anterior descending MI, Myocardial infarction PCI, Percutaneous coronary intervention STEMI, ST-segment myocardial infarction TEE, Transesophageal echocardiography TTE, Transthoracic echocardiography VSD, Ventricular septal defect VSR, Ventricular septal rupture Acute myocardial infarction Mechanical complication Percutaneous closure device Percutaneous septal defect closure Ventricular septal defect Ventricular septal rupture ROTURA SEPTAL VENTRICULAR DEFECTOS DEL TABIQUE INTERATRIAL ESPECTROSCOPÍA DE RESONANCIA MAGNÉTICA TOMOGRAFÍA INFARTO DEL MIOCARDIO INTERVENCIÓN CORONARIA PERCUTÁNEA INFARTO DEL MIOCARDIO SIN ELEVACIÓN DEL ST INFARTO DEL MIOCARDIO CON ELEVACIÓN DEL ST ECOCARDIOGRAFÍA TRANSESOFÁGICA DEFECTOS DEL TABIQUE INTERVENTRICULAR ROTURA SEPTAL VENTRICULAR |
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| Inglés | |
| Universidad de la República | |
| COLIBRI | |
| https://hdl.handle.net/20.500.12008/55141 | |
| Acceso abierto | |
| Licencia Creative Commons Atribución - No Comercial - Sin Derivadas (CC - By-NC-ND 4.0) |
