Acute ventricular septal rupture. Angiographic-morphologic features and clinical assessment.
Chest
; 95(2): 292-8, 1989 Feb.
Article
em En
| MEDLINE
| ID: mdl-2914477
ABSTRACT
Twenty patients with acute ventricular septal rupture underwent cardiac catheterization. Prior to catheterization, 17 patients were in Killip class 3-4. Mean cardiac index and cardiac output were 2.03 +/- 0.81 L/min/m2 and 3.55 +/- 1.33 L/min, respectively. Based on a recent pathologic description of septal rupture, we encountered by angiography and during surgery, two morphologic types of rupture simple type which appears as a direct through-and-through communication between the ventricles, and complex type which presents hemorrhagic tracts in the septum with the opening into the ventricles at different levels. Considering the management of patients with septal rupture and the clinical outcome in our series, it is suggested that there is a need to minimize invasive angiographic procedures prior to early surgical correction of the ruptured septum.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ruptura Cardíaca Pós-Infarto
/
Ruptura Cardíaca
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Chest
Ano de publicação:
1989
Tipo de documento:
Article