Post-infarction ventricular septal defect: triggered by Valsalva manoeuvre?
Cardiovasc J Afr
; 21(6): 329-32, 2010.
Article
in En
| MEDLINE
| ID: mdl-21135982
ABSTRACT
Post-infarction ventricular septal defect (VSD) is a fatal mechanical complication of myocardial infarction. Although the incidence has decreased to less than 1% after the extensive use of reperfusion strategies, post-infarction VSD still carries a high mortality risk. Management is controversial, whether to wait for surgery after a stabilisation period or to perform emergency surgery when diagnosed. We report on a case of post-infarction VSD that was detected with severe haemodynamic instability, beginning immediately after the patient's Valsalva manoeuvre on the sixth day of a non-reperfused inferior myocardial infarction. In the early period, the post-infarction VSD was repaired via a trans-aneurismal approach.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Valsalva Maneuver
/
Ventricular Septal Rupture
/
Inferior Wall Myocardial Infarction
/
Heart Aneurysm
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Risk_factors_studies
Limits:
Female
/
Humans
/
Middle aged
Language:
En
Journal:
Cardiovasc J Afr
Journal subject:
ANGIOLOGIA
/
CARDIOLOGIA
Year:
2010
Type:
Article