Utility of cardiac MRI in determining percutaneous versus surgical post-infarction ventricular septal defect repair.
Future Cardiol
; 14(2): 125-130, 2018 03.
Article
em En
| MEDLINE
| ID: mdl-29355029
ABSTRACT
AIM:
Postmyocardial infarction ventricular septal defect (VSD) is a rare complication that can lead to rapid hemodynamic patient decompensation. The type of VSD repair relies on several factors including size, location, timing and surgical expertise. CASE A 63-year-old man with a ST-elevation myocardial infarction underwent percutaneous coronary intervention of the right coronary artery. A holosystolic murmur was notable postcatheterization, and transthoracic echocardiogram confirmed a VSD. To characterize the VSD, a cardiac MRI demonstrated a large, serpiginous VSD and longitudinal septal tear. Given the anatomic complexity and stable hemodynamics, a surgical trans-left ventricular patch repair was performed.CONCLUSION:
We emphasize the importance of cardiac magnetic resonance as a decision-making tool, utilizing imaging to ascertain the anatomy combined with hemodynamics to determine optimal individualized therapy.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Cateterismo Cardíaco
/
Imagem Cinética por Ressonância Magnética
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Dispositivo para Oclusão Septal
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Infarto do Miocárdio com Supradesnível do Segmento ST
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Comunicação Interventricular
/
Procedimentos Cirúrgicos Cardíacos
/
Ventrículos do Coração
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Future Cardiol
Assunto da revista:
CARDIOLOGIA
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Estados Unidos