alexa Ventricular Septal Rupture After Acute Myocardial Infarction-Do We Know Which Strategy to Choose?
ISSN: 2155-9880

Journal of Clinical & Experimental Cardiology
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Case Report

Ventricular Septal Rupture After Acute Myocardial Infarction-Do We Know Which Strategy to Choose?

Anna Ledakowicz-Polak1*, Sławomir Jander2, Michał Kidawa1, Karolina Stokfisz1 and Marzenna Zielińska1

1Intensive Cardiac Therapy Clinic, Medical University of Lodz, Poland

2Cardiosurgery Clinic, Medical University of Lodz, Poland

*Corresponding Author:
Anna Ledakowicz- Polak
Intensive Cardiac Therapy Clinic
Medical University of Lodz, Pomorska 251
92-213 Lodz, Poland
Tel: +48-42-201 42 60
E-mail: anialedakowicz@wp.pl

Received Date: September 22, 2016; Accepted Date: May 18, 2017; Published Date: May 20, 2017

Citation: Ledakowicz-Polak A, Jander S, Kidawa M, Stokfisz K, Zielinska M (2017) Ventricular Septal Rupture After Acute Myocardial Infarction-Do We Know Which Therapeutic Strategy to Choose?. J Clin Exp Cardiolog 8:522. doi: 10.4172/2155-9880.1000522

Copyright: © 2017 Ledakowicz-Polak A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Ventricular septal rupture is still a rare but often fatal complication of acute myocardial infarction. Emergent surgical closure of postinfarction ventricular septal rupture irrespective of the clinical status has been the standard treatment so far. A percutaneous approach using an occluder device is a less invasive option and allows immediate complete closure after initial hemodynamic stabilization. Furthermore immediate reduction of the left-to-right shunt, even if the ventricular septal rupture is not completely closed, may stabilize the patient enough to function as a bridge to surgery. We present two similar cases of patients which highlight the multiple features of acute myocardial infarction- related ventricular septal rupture treated with two alternative techniques.

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