Successful surgical repair of ventricular septal defect and left ventricle aneurysm in acute myocardial infarction
Abstract
Postinfarction ventricular septal defect (VSD) is a rare, but fatal complication developing within the first two weeks from the onset of myocardial infarction (MI). Patients with VSD most frequently die of acute decompensated heart failure within several days. Nevertheless, the timing of surgical repair still remains under consideration. A more «aggressive» approach implies closing the defect in the shortest possible time period after VSD is diagnosed; whereas some surgeons advocate stabilization of patients’ hemodynamics by means of circulatory support devices with the subsequent delayed surgical treatment. We present a clinical case of the patient with acute myocardial infarction who underwent successful surgical treatment for two life-threatening complications of acute MI: VSD and posterior aneurysm of the left ventricle
About the Authors
A. V. Yanushko
Grodno Regional Clinical Cardiology Center
Belarus
Belarus
S. L. Salauyou
Grodno Regional Clinical Cardiology Center
Belarus
Belarus
Yu. T. Liutkevich
Grodno Regional Clinical Cardiology Center
Belarus
Belarus
I. L. Kiziukevich
Grodno Regional Clinical Cardiology Center
Belarus
Belarus
References
1. Birnbaum Y., Fishbein M., Blanche C., Siegel R.J. Ventricular septal rupture after acute myocardial infarction. N Engl J Med, 2002, vol. 347, № 18, pp. 1426-1432.
2. Poulsen S.H., Praestholm M., Munk K., Wierup P., Egeblad H., Nielsen- Kudsk J.E. Ventricular septal rupture complicating acute myocardialinfarction: clinical characteristics and contemporary outcome. Ann ThoracSurg, 2008, vol. 85, № 2, pp. 1591-1596.
3. Deja M.A., Szostek J., Widenka K., Szafron B., Spyt T.J., Hickey M.S., Sosnowski A.W. Postinfarction ventricular septal defect - can we do better? Eur J Cardiothorac Surg, 2000, vol. 18, № 2, pp. 194-201.
4. Arnaoutakis G.J., Zhao Y., George T.J., Sciortino C.M., McCarthy P.M., Conte J.V. Surgical repair of ventricular septal defect after myocardialinfarction: outcomes from the Society of Thoracic Surgeons national database. Ann Thorac Surg, 2012, vol. 94, № 2, pp. 436-444.
5. Moreyra A.E., Huang M.S., Wilson A.C., Deng Y., Cosgrove N.M., Kostis J.B. Trends in incidence and mortality rates of ventricularseptal rupture during acute myocardial infarction. Am J Cardiol, 2010, vol. 106, № 8, pp. 10951100.
6. Murday A. Optimal management of acute ventricular septal rupture. Heart, 2003, vol. 89, № 12, pp. 1462-1466.
7. OstrovskyYu.P. Postinfarktnyj razryv mezhzheludochkovoj peregorodki [Postinfarction rupture of interventricular septum]. Hirurgiya serdca [Cardiac Surgery]. М., 2007, pp. 221-228. (in Russian).
8. Ibanez B., James S., Agewall S., Antunes M.J., Bucciarelli-Ducci C., Bueno H., Caforio A.L.P., Crea F., Goudevenos J.A., Halvorsen S., Hindricks G., Kastrati A., Lenzen M.J., Prescott E., Roffi M., Valgimigli M., Varenhorst C., Vranckx P., Widimskэ P. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarctionin patients presenting w ith ST-segm ent elevation of the European Society of Cardiology (ESC). Eur Heart J 2018, vol. 39, № 2, pp. 119-177. doi: 10.1093/eurheartj/ehx393.
9. Maksimov A.L., Kordatov P.N., Ryazanov P.N., Ryazanov M.V., Ancygina L.N. Neotlozhnye operacii pri oslozhnennyh formah IBS: postinfarktnyj razryv mezhzheludochkovoj peregorodki. [Urgent surgeries in complications of CAD: postinfarction rupture of interventricular septum]. Neotlozhnaya kardiohirurgija: aktual’nye i nereshennye voprosy. [Urgent cardiac surgery: relevant and unanswered questions]. Nizhnij Novgorod, 2015, pp. 338367. (in Russian).
10. Gregoric I.D., Bieniarz M.C., Arora H., Frazier O.H., Kar B., Loyalka P. Percutaneous ventricular assist device support in a patient with a postinfarction ventricular septal defect. Tex Heart Inst J 2008, vol. 35, № 1, pp. 46-49.
11. Asai T. Postinfarction ventricular septal rupture: can we improve clinical outcome of surgical repair? Gen Thorac Cardiovasc Surg, 2016, vol. 64, № 3, pp. 121-30.
12. Conradi L., Treede H., Brickwedel J., Reichenspurner H. Use of initial biventricular mechanical support in a case of postinfarction ventricular septal rupture as a bridge to surgery. Ann ThoracSurg, 2009, vol. 87, № 5, pp. 37-39.
13. EreminiennE.,Jurgaitiene R., Benetis R. Surgical treatment of ventricular septal defect followingm yocardial infarction: a Case Report. Medicina (Kaunas), 2013, vol. 49, № 4, pp. 200-205.
14. Yucel E., Ozisik K., Ersoy O., Ulular O., Temizturk Z., Karapinar K. Simultaneous surgical repair of post-infarct ventricular septal defect, left ventricular aneurysm and coronary artery disease. J Cardiovasc Surg, 2015, vol. 3, № 3, pp. 70-73.
15. Jones B.M., Kapadia S.R., Smedira N.G., Robich M., Tuzcu E.M., Menon V., Krishnaswamy A. Ventricular septal rupture complicating acute myocardia- linfarction: a contemporary review. Euro Heart J 2014, vol. 35, № 31, pp. 2060-2068. doi: 10.1093/eurheartj/ehu248.
16. Maltais S., Ibrahim R., Basmadjian A-J., Carrier M., Bouchard D., Cartier R., Demers P., Ladouceur M., Pellerin M., Perrault L.P. Postinfarction ventricular septal defects: towards a newtreatment algorithm? Ann ThoracSurg, 2009, vol. 87, № 3, pp. 687-693. doi: 10.1016/j.athoracsur.2008.
17. Cox F.F., Plokker H.W.M., Morshuis W.J., Kelder J.C., Vermeulen F.E. Importance of coronary revascularization for late survivalafter postinfarction ventricular septal rupture. A reason to perform coronary angiography prior to surgery. Eur Heart J 1996, vol. 17, iss. 12, pp. 1841-1845.
18. Takahashi H., Arif R., Almashhoor A., Ruhparwar A., Karck M., Kallenbach K. Longterm results after surgical treatment of postinfarctionventricular septal rupture. Eur J CardiothoracSurg, 2015, vol. 47, № 4, pp. 720-724.
19. Papadopoulos N., M oritz A., Dzemali O., Zierer A., Rouhollapour A., Ackermann H., Bakhtiary F. Long-term results after surgical repair of postinfarctionventricular septal rupture by infarct exclusion technique. Ann Thorac Surg, 2009, vol. 87, № 5, pp. 1421-1425.
Review
For citations:
Yanushko A.V., Salauyou S.L., Liutkevich Yu.T., Kiziukevich I.L. Successful surgical repair of ventricular septal defect and left ventricle aneurysm in acute myocardial infarction. Emergency Cardiology and Cardiovascular Risks journal. 2018;2(2):418-422. (In Russ.)
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