Ventricular Septal Rupture
Heart Rupture
Heart Rupture, Post-Infarction
Heart Septum
Myocardial Infarction
Heart Ventricles
Echocardiography
Encyclopedias as Topic
MedlinePlus
Aortic Coarctation
Aorta, Thoracic
Postmortem evaluation of morphologic changes in the infarcted myocardium that predict ventricular septal rupture in acute anteroseptal infarction. (1/79)
Although thinning of the ventricular wall due to infarct expansion (septal aneurysm) may contribute to ventricular septal rupture (VSR), spatial factors predisposing to this mechanical complication have not been fully demonstrated. To identify the morphologic predictors of VSR, a retrospective postmortem study was performed on 17 hearts with acute anteroseptal myocardial infarction, comprising 7 with VSR and 10 without rupture. Infarct size and the extent of wall thinning were quantified. Wall thinning was defined as a decrease of less than 50% of thickness of the noninfarcted wall. The total infarct size did not differ among the groups. In the free wall (FW), the infarct was smaller in hearts with VSR than in those with a ruptured FW (p<0.05) or no rupture (p<0.01). The septal involvement was more extensive in patients with VSR than in those with FW rupture (p<0.05). Septal thinning was more extensive in hearts with VSR than in those with FW rupture (p<0.05) or non-rupture (p<0.05). A combination of a small infarct of the FW and a large septal infarct may contribute to the formation of septal aneurysm, which is believed to predispose to VSR. The presence of a small infarct of the anterior septum may be another setting for postinfarction septal rupture. (+info)Left ventricular rupture after mitral valve replacement in a patient with osteogenesis imperfecta tarda. (2/79)
We describe the case of a patient with osteogenesis imperfecta tarda (Lobstein's syndrome) and mitral valve insufficiency. The course after mitral valve replacement was complicated by rupture of the left ventricular posterior wall, which caused massive bleeding and sudden death. The pathologic findings and the operative problems are discussed. (+info)Six-year survival of unoperated ventricular septal rupture following myocardial infarction. (3/79)
We present the case of a patient who survived for 6 years without surgical repair of a ventricular septal rupture that followed an acute myocardial infarction. To the best of our knowledge, only 3 other cases have been reported in which the patient survived for more than 5 years. (+info)Fourteen-year survival in a case of ventricular septal perforation after myocardial infarction. (4/79)
We treated a case of ventricular septal perforation (VSP) who survived for 14 years after myocardial infarction. Nine years after the onset of myocardial infarction, an apparent cardiac murmur was discovered by chance, and following further examination, the patient was diagnosed as having VSP. The patient is still in the NYHA functional class I, and requiring no surgical treatment. In general, the prognosis of myocardial infarction complicated with VSP is so poor that there have only been 14 reported cases of long survival without surgical treatment. Among these patients, only 2 survived for more than 10 years. The present case is extremely rare, and evidently is the longest living survivor with this condition yet reported. (+info)Transatrial repair of ventricular septal rupture under preoperative localization by transesophageal echocardiography. (5/79)
We report about a 71-year-old woman with postinfarction ventricular septal rupture who was successfully treated by the transatrial closure under preoperative localization by transesophageal echocardiography. In an attempt at transatrial repair of the ventricular septal rupture, the most important thing is preoperative localization of the defect in the septum, which is located high and posterior, where it is smooth with relatively few trabeculations and can be readily exposed by retraction of the tricuspid valve. (+info)Primary angioplasty reduces the risk of left ventricular free wall rupture compared with thrombolysis in patients with acute myocardial infarction. (6/79)
OBJECTIVES: This study aimed to evaluate the effect of primary angioplasty (PA) over the risk of free wall rupture (FWR) in reperfused acute myocardial infarction (AMI). BACKGROUND: It has been suggested that PA reduces the risk of FWR compared with thrombolysis. However, few studies have evaluated this issue, and there are no data demonstrating this hypothesis. METHODS: A total of 1,375 patients with AMI treated with PA (n = 762, 55.4%) or thrombolysis (n = 613, 44.6%) within 12 h after symptoms onset were included. The diagnosis of FWR was made either in the presence of sudden death due to electromechanical dissociation with large pericardial effusion on an echocardiogram or when demonstrated post mortem or at surgery. A multivariable analysis was performed including type of reperfusion strategy. RESULTS: The overall incidence of FWR was 2.5% (n = 34): 1.8% and 3.3% in patients treated with PA and with thrombolysis, respectively (p = 0.686). The following characteristics were associated with a higher rate of FWR in the univariable analysis: age >70 (5.2% vs. 1.2%, p < 0.001), female gender (5.1% vs. 1.8%, p = 0.006), anterior location (3.3% vs. 1.4%, p = 0.020) and treatment >2 h after symptoms onset (3.6% vs. 1.7%, p = 0.043). In the multivariable analysis, age >70 (odds ratio [OR]: 4.12, 95% confidence interval [CI]: 2.04 to 8.62, p < 0.001) and anterior location (OR: 2.91, 95% CI: 1.36 to 6.63, p = 0.008) were independent risk factors of FWR, whereas treatment with PA was an independent protective factor (OR: 0.46, 95% CI: 0.22 to 0.96, p = 0.0371). CONCLUSIONS: In patients with AMI, PA reduces the risk of FWR in comparison with thrombolysis. (+info)Long-term usefulness of percutaneous intrapericardial fibrin-glue fixation therapy for oozing type of left ventricular free wall rupture: a case report. (7/79)
This report describes a long-term survival case of left ventricular free wall rupture treated with percutaneous intrapericardial fibrin-glue fixation therapy. A 82-year-old woman was admitted to the emergency room because of vomiting and syncope diagnosed as acute posterolateral myocardial infarction complicated by cardiac tamponade. After her hemodynamic condition was stabilized by drawing off the bloody pericardial effusion, fibrin-glue was injected into pericardial space with the expectation that the glue would cover the oozing site of the left ventricular epicardium. After this therapy, the patient recovered and did not have any no recurrent cardiac events for 1 year. Serial echocardiographic studies revealed a preserved left ventricular function and no development of left ventricular restriction. This case suggests that percutaneous intrapericardial fibrin-glue fixation therapy is an effective treatment for the oozing type of left ventricular free wall rupture and that there is no risk of left ventricular restriction during long-term follow-up. (+info)Influence of thrombolytic therapy on the patterns of ventricular septal rupture after acute myocardial infarction. (8/79)
BACKGROUND: Post-myocardial infarction ventricular septal defect (VSD) complicates approximately 2% of myocardial infarctions. Thrombolytic therapy may accelerate the time from myocardial infarction to VSD formation. The effects of thrombolytic therapy in patients with a post-myocardial infarction VSD were investigated. METHOD: Demographic, procedural, and event data were retrospectively analysed in patients transferred to a regional cardiothoracic centre with the diagnosis of post-myocardial infarction VSD over five years. RESULTS: Twenty nine patients were analysed; 15 received thrombolytic therapy: 10 (<12 hours) early and five (> or =12 hours) late. The median time to post-myocardial infarction VSD was shorter with thrombolytic therapy at 1 v 5.5 days (p=0.01). The median time to post-myocardial infarction VSD was shorter with early compared with late thrombolytic therapy at 1 v 6 days (p<0.01). There was no difference between late and no thrombolytic therapy, 5.5 v 6 days. Patients treated with thrombolytic therapy had a trend towards higher mortality at 11/15 (73%) compared with 5/14 (36%) (p=0.066). Twenty five (86%) patients had surgery. All four not having surgery died. Surgical survival was 13/25 (52%) at discharge and six months of follow up. Within the surgical group survival with prior thrombolytic therapy was 4/25 (25%) and 9/13 (69%) without (p=0.07). CONCLUSION: There appears to be an earlier presentation of post-myocardial infarction VSD when thrombolytic therapy has been used. An early presentation can carry a worse prognosis and may have implications for the identification and treatment of this life threatening complication. (+info)Ventricular Septal Rupture (VSR) is a serious and potentially life-threatening condition that occurs when there is a hole or tear in the ventricular septum, which is the muscular wall that separates the left and right ventricles of the heart. This separation is crucial for maintaining the proper flow of blood through the heart and lungs.
In VSR, blood from the high-pressure left ventricle flows into the low-pressure right ventricle through the abnormal opening, causing a mixing of oxygenated and deoxygenated blood. As a result, the body may not receive enough oxygen-rich blood to meet its needs, leading to symptoms such as shortness of breath, fatigue, and fluid buildup in the lungs and other parts of the body.
Ventricular septal rupture is most commonly seen as a complication of acute myocardial infarction (heart attack), where the muscle tissue of the ventricular septum becomes necrotic and weakened, leading to the formation of a hole or tear. Other causes of VSR include congenital heart defects, trauma, and certain infections such as endocarditis.
Treatment for VSR typically involves surgical repair of the defect, often using a patch or other materials to close the opening. In some cases, medication may be used to help manage symptoms and improve cardiac function while awaiting surgery. The prognosis for patients with VSR depends on various factors, including the size and location of the rupture, the patient's overall health and age, and the timeliness and success of treatment.
A heart rupture, also known as cardiac rupture, is a serious and life-threatening condition that occurs when there is a tear or hole in the muscle wall of the heart. This can happen as a result of a severe injury to the heart, such as from a car accident or a fall, or it can occur as a complication of a heart attack.
During a heart attack, blood flow to a portion of the heart is blocked, causing the heart muscle to become damaged and die. If the damage is extensive, the weakened heart muscle may rupture, leading to bleeding into the pericardial sac (the space surrounding the heart) or into one of the heart chambers.
A heart rupture can cause sudden cardiac arrest and death if not treated immediately. Symptoms of a heart rupture may include chest pain, shortness of breath, rapid heartbeat, and loss of consciousness. Treatment typically involves emergency surgery to repair or replace the damaged portion of the heart.
Post-infarction heart rupture is a serious and potentially fatal complication that can occur after a myocardial infarction (heart attack). It is defined as the disruption or tearing of the heart muscle (myocardium) in the area that was damaged by the heart attack. This condition typically occurs within 1 to 7 days following a heart attack, and it's more common in elderly patients and those with large infarctions.
There are three main types of post-infarction heart rupture:
1. Ventricular free wall rupture: This is the most common type, where there is a tear in the left ventricular wall, leading to rapid bleeding into the pericardial sac (the space surrounding the heart). This can cause cardiac tamponade, which is a life-threatening situation characterized by increased pressure in the pericardial sac, compromising cardiac filling and reducing cardiac output.
2. Ventricular septal rupture: In this case, there is a tear in the interventricular septum (the wall separating the left and right ventricles), leading to a communication between the two chambers. This results in a shunt of blood from the high-pressure left ventricle to the low-pressure right ventricle, causing a sudden increase in pulmonary congestion and reduced systemic output.
3. Papillary muscle rupture: The papillary muscles are finger-like projections that attach the heart valves (mitral and tricuspid) to the ventricular walls. Rupture of these muscles can lead to severe mitral or tricuspid regurgitation, causing acute pulmonary edema and reduced cardiac output.
Symptoms of post-infarction heart rupture may include chest pain, shortness of breath, palpitations, hypotension, tachycardia, and signs of cardiogenic shock (such as cold sweats, weak pulse, and altered mental status). Diagnosis is typically made using echocardiography, CT angiography, or MRI. Treatment usually involves emergency surgical intervention to repair the rupture and stabilize the patient's hemodynamic condition.
The heart septum is the thick, muscular wall that divides the right and left sides of the heart. It consists of two main parts: the atrial septum, which separates the right and left atria (the upper chambers of the heart), and the ventricular septum, which separates the right and left ventricles (the lower chambers of the heart). A normal heart septum ensures that oxygen-rich blood from the lungs does not mix with oxygen-poor blood from the body. Any defect or abnormality in the heart septum is called a septal defect, which can lead to various congenital heart diseases.
Myocardial infarction (MI), also known as a heart attack, is a medical condition characterized by the death of a segment of heart muscle (myocardium) due to the interruption of its blood supply. This interruption is most commonly caused by the blockage of a coronary artery by a blood clot formed on the top of an atherosclerotic plaque, which is a buildup of cholesterol and other substances in the inner lining of the artery.
The lack of oxygen and nutrients supply to the heart muscle tissue results in damage or death of the cardiac cells, causing the affected area to become necrotic. The extent and severity of the MI depend on the size of the affected area, the duration of the occlusion, and the presence of collateral circulation.
Symptoms of a myocardial infarction may include chest pain or discomfort, shortness of breath, nausea, lightheadedness, and sweating. Immediate medical attention is necessary to restore blood flow to the affected area and prevent further damage to the heart muscle. Treatment options for MI include medications, such as thrombolytics, antiplatelet agents, and pain relievers, as well as procedures such as percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG).
Cardiac surgical procedures are operations that are performed on the heart or great vessels (the aorta and vena cava) by cardiothoracic surgeons. These surgeries are often complex and require a high level of skill and expertise. Some common reasons for cardiac surgical procedures include:
1. Coronary artery bypass grafting (CABG): This is a surgery to improve blood flow to the heart in patients with coronary artery disease. During the procedure, a healthy blood vessel from another part of the body is used to create a detour around the blocked or narrowed portion of the coronary artery.
2. Valve repair or replacement: The heart has four valves that control blood flow through and out of the heart. If one or more of these valves become damaged or diseased, they may need to be repaired or replaced. This can be done using artificial valves or valves from animal or human donors.
3. Aneurysm repair: An aneurysm is a weakened area in the wall of an artery that can bulge out and potentially rupture. If an aneurysm occurs in the aorta, it may require surgical repair to prevent rupture.
4. Heart transplantation: In some cases, heart failure may be so severe that a heart transplant is necessary. This involves removing the diseased heart and replacing it with a healthy donor heart.
5. Arrhythmia surgery: Certain types of abnormal heart rhythms (arrhythmias) may require surgical treatment. One such procedure is called the Maze procedure, which involves creating a pattern of scar tissue in the heart to disrupt the abnormal electrical signals that cause the arrhythmia.
6. Congenital heart defect repair: Some people are born with structural problems in their hearts that require surgical correction. These may include holes between the chambers of the heart or abnormal blood vessels.
Cardiac surgical procedures carry risks, including bleeding, infection, stroke, and death. However, for many patients, these surgeries can significantly improve their quality of life and longevity.
The heart ventricles are the two lower chambers of the heart that receive blood from the atria and pump it to the lungs or the rest of the body. The right ventricle pumps deoxygenated blood to the lungs, while the left ventricle pumps oxygenated blood to the rest of the body. Both ventricles have thick, muscular walls to generate the pressure necessary to pump blood through the circulatory system.
Echocardiography is a medical procedure that uses sound waves to produce detailed images of the heart's structure, function, and motion. It is a non-invasive test that can help diagnose various heart conditions, such as valve problems, heart muscle damage, blood clots, and congenital heart defects.
During an echocardiogram, a transducer (a device that sends and receives sound waves) is placed on the chest or passed through the esophagus to obtain images of the heart. The sound waves produced by the transducer bounce off the heart structures and return to the transducer, which then converts them into electrical signals that are processed to create images of the heart.
There are several types of echocardiograms, including:
* Transthoracic echocardiography (TTE): This is the most common type of echocardiogram and involves placing the transducer on the chest.
* Transesophageal echocardiography (TEE): This type of echocardiogram involves passing a specialized transducer through the esophagus to obtain images of the heart from a closer proximity.
* Stress echocardiography: This type of echocardiogram is performed during exercise or medication-induced stress to assess how the heart functions under stress.
* Doppler echocardiography: This type of echocardiogram uses sound waves to measure blood flow and velocity in the heart and blood vessels.
Echocardiography is a valuable tool for diagnosing and managing various heart conditions, as it provides detailed information about the structure and function of the heart. It is generally safe, non-invasive, and painless, making it a popular choice for doctors and patients alike.
A rupture, in medical terms, refers to the breaking or tearing of an organ, tissue, or structure in the body. This can occur due to various reasons such as trauma, injury, increased pressure, or degeneration. A ruptured organ or structure can lead to serious complications, including internal bleeding, infection, and even death, if not treated promptly and appropriately. Examples of ruptures include a ruptured appendix, ruptured eardrum, or a ruptured disc in the spine.
An encyclopedia is a comprehensive reference work containing articles on various topics, usually arranged in alphabetical order. In the context of medicine, a medical encyclopedia is a collection of articles that provide information about a wide range of medical topics, including diseases and conditions, treatments, tests, procedures, and anatomy and physiology. Medical encyclopedias may be published in print or electronic formats and are often used as a starting point for researching medical topics. They can provide reliable and accurate information on medical subjects, making them useful resources for healthcare professionals, students, and patients alike. Some well-known examples of medical encyclopedias include the Merck Manual and the Stedman's Medical Dictionary.
MedlinePlus is not a medical term, but rather a consumer health website that provides high-quality, accurate, and reliable health information, written in easy-to-understand language. It is produced by the U.S. National Library of Medicine, the world's largest medical library, and is widely recognized as a trusted source of health information.
MedlinePlus offers information on various health topics, including conditions, diseases, tests, treatments, and wellness. It also provides access to drug information, medical dictionary, and encyclopedia, as well as links to clinical trials, medical news, and patient organizations. The website is available in both English and Spanish and can be accessed for free.
Aortic coarctation is a narrowing of the aorta, the largest blood vessel in the body that carries oxygen-rich blood from the heart to the rest of the body. This condition usually occurs in the part of the aorta that is just beyond where it arises from the left ventricle and before it divides into the iliac arteries.
In aortic coarctation, the narrowing can vary from mild to severe, and it can cause a variety of symptoms depending on the severity of the narrowing and the age of the individual. In newborns and infants with severe coarctation, symptoms may include difficulty breathing, poor feeding, and weak or absent femoral pulses (located in the groin area). Older children and adults with mild to moderate coarctation may not experience any symptoms until later in life, when high blood pressure, headaches, nosebleeds, leg cramps, or heart failure develop.
Aortic coarctation is typically diagnosed through physical examination, imaging tests such as echocardiography, CT angiography, or MRI, and sometimes cardiac catheterization. Treatment options include surgical repair or balloon dilation (also known as balloon angioplasty) to open the narrowed section of the aorta. If left untreated, aortic coarctation can lead to serious complications such as high blood pressure, heart failure, stroke, and rupture or dissection of the aorta.
The aorta is the largest artery in the human body, which originates from the left ventricle of the heart and carries oxygenated blood to the rest of the body. It can be divided into several parts, including the ascending aorta, aortic arch, and descending aorta. The ascending aorta gives rise to the coronary arteries that supply blood to the heart muscle. The aortic arch gives rise to the brachiocephalic, left common carotid, and left subclavian arteries, which supply blood to the head, neck, and upper extremities. The descending aorta travels through the thorax and abdomen, giving rise to various intercostal, visceral, and renal arteries that supply blood to the chest wall, organs, and kidneys.
The thoracic aorta is the segment of the largest artery in the human body (the aorta) that runs through the chest region (thorax). The thoracic aorta begins at the aortic arch, where it branches off from the ascending aorta, and extends down to the diaphragm, where it becomes the abdominal aorta.
The thoracic aorta is divided into three parts: the ascending aorta, the aortic arch, and the descending aorta. The ascending aorta rises from the left ventricle of the heart and is about 2 inches (5 centimeters) long. The aortic arch curves backward and to the left, giving rise to the brachiocephalic trunk, the left common carotid artery, and the left subclavian artery. The descending thoracic aorta runs downward through the chest, passing through the diaphragm to become the abdominal aorta.
The thoracic aorta supplies oxygenated blood to the upper body, including the head, neck, arms, and chest. It plays a critical role in maintaining blood flow and pressure throughout the body.
I'm sorry for any confusion, but "Gross Domestic Product" (GDP) is an economic term, not a medical one. GDP is the total monetary or market value of all the finished goods and services produced within a country's borders in a specific time period. It serves as a comprehensive measure of a nation’s overall economic activity.
If you have any medical questions or terms you would like defined, I would be happy to help!
The abdominal aorta is the portion of the aorta, which is the largest artery in the body, that runs through the abdomen. It originates from the thoracic aorta at the level of the diaphragm and descends through the abdomen, where it branches off into several smaller arteries that supply blood to the pelvis, legs, and various abdominal organs. The abdominal aorta is typically divided into four segments: the suprarenal, infrarenal, visceral, and parietal portions. Disorders of the abdominal aorta can include aneurysms, atherosclerosis, and dissections, which can have serious consequences if left untreated.
Myocardial rupture
Acute decompensated heart failure
Coronary artery bypass surgery
Blunt cardiac injury
Reperfusion therapy
Aneurysm
Myocardial infarction complications
Pulmonary artery catheter
List of MeSH codes (C14)
Outline of cardiology
Chordae tendineae
Papillary muscle
Intra-aortic balloon pump
List of ICD-9 codes 390-459: diseases of the circulatory system
Sussex Spaniel
Pulmonary edema
Mitral valve
Heart murmur
Cave of septum pellucidum
List of dog diseases
Emphysema
Multan Institute of Cardiology
List of diseases (P)
Åke Senning
Heart
Stroke
Dandy-Walker malformation
ICD-9-CM Volume 3
Mary Kom (film)
Human brain
Postinfarction Ventricular Septal Rupture: Practice Essentials, Background, Pathophysiology
Postinfarction Ventricular Septal Rupture: Overview, Pathophysiology, Epidemiology
ESC 365 - Ventricular septal rupture complicating acute myocardial infarction in a patient with COVID-19.
Ticagrelor Monotherapy Beats DAPT in STEMI
Seasonal Flu Vax Cuts Post-MI Mortality: IAMI
FDA Clears Architect Stat High-Sensitivity Troponin Test for MI
Heart Transplantation | Transition to heart transplantation in post-myocardial infarction ventricular septal rupture: a...
Death-related risk factors analysis of surgical treatment of myocardial infarction combined with ventricular septal rupture]. ...
Myocardial rupture - Wikipedia
Anterior Ischemic VSD Repair After Failed Percutaneous Device Closure | CTSNet
Perioperative Myocardial Infarction: Practice Essentials, Problem, Management
Internal Medicine
Frontiers | Case report: Primary cardiac lymphoma manifesting as superior vena cava syndrome
Eastern Medical College Journal
Table of contents | Heart
Delayed Diagnosis of Chronic Q Fever and Cardiac Valve Surgery - Volume 19, Number 5-May 2013 - Emerging Infectious Diseases...
Internet Scientific Publications
Coarctation of the aorta: MedlinePlus Medical Encyclopedia
Cardiogenic Shock Workup: Approach Considerations, Laboratory Studies, Imaging Studies
complications - General Practice notebook
Search Results | AVMA
Case Studies - Burjeel Holdings
International Classification of Diseases - Diseases of the Circulatory System
ventricular septal defect Archives - Anatomical Justice
Resolution of Recurrent GI Bleed Following Alcohol Septal Ablation for
Transcatheter Closure of Postinfarction Ventricular Septal Defects Using the New Amplatzer Muscular VSD Occluder: Results of a...
JCCM 2015, Vol. 1, Issue 4 | The Journal of Critical Care Medicine
Search | Global Index Medicus
Dr. Jatinder Dhillon, MD - Cardiothoracic Surgery Specialist in Danville, CA | Healthgrades
CPC-EM: Volume 4 Issue 2 Archives - The Western Journal of Emergency Medicine
Defect17
- Ventricular septal rupture is defect in interventricular septum (wall dividing left and right ventricles of heart). (medscape.com)
- For patient education resources, see the Heart Health Center , as well as Ventricular Septal Defect and Heart Attack . (medscape.com)
- Posterior ventricular septal defect is visible at site of recent acute myocardial infarction. (medscape.com)
- Ventricular septal defect (VSD) is defect in interventricular septum (wall dividing left and right ventricles of heart). (medscape.com)
- Arnaoutakis GJ, Zhao Y, George TJ, Sciortino CM, McCarthy PM, Conte JV (2012) Surgical repair of ventricular septal defect after myocardial infarction: outcomes from the Society of Thoracic Surgeons National Database. (springermedicine.com)
- Cinq-Mars A et al (2016) Risk factors of mortality after surgical correction of ventricular septal defect following myocardial infarction: Retrospective analysis and review of the literature. (springermedicine.com)
- Singh V et al (2017) Ventricular septal defect complicating ST-elevation myocardial infarctions: a call for action. (springermedicine.com)
- Crenshaw BS et al (2000) Risk factors, angiographic patterns, and outcomes in patients with ventricular septal defect complicating acute myocardial infarction. (springermedicine.com)
- Rupture of the interventricular septum will cause a ventricular septal defect. (wikipedia.org)
- Complications of acute ischemic heart disease include ventricular septal rupture resulting in a defect and sudden left to right shunt. (ctsnet.org)
- She had a new systolic 6/6 murmur and an echocardiogram confirmed an anterior and apical ventricular septal defect. (ctsnet.org)
- Repair of ischemic ventricular septal defect with and without coronary artery bypass grafting. (ctsnet.org)
- Systematic review and meta-analysis of the mechanical complications of ischemic heart disease: papillary muscle rupture, left ventricle rupture and post-infarct ventricular septal defect. (ctsnet.org)
- SOVA itself is uncommon, but it is more frequently associated with a supracristal ventricular septal defect (SVSD). (westjem.com)
- Coexistent cardiac lesions included ventricular septal defect (VSD) (n=16, 15 of which were subarterial) and aortic valve insufficiency (n=13). (elsevierpure.com)
- We describe the first case of a prenatal detection of a congenital membranous VSA bulging from the left ventricle towards the right atrium, associated with a tricuspid atresia with concordant ventriculo-arterial connection and a ventricular septal defect. (fortuneonline.org)
- Ventricular morphology was mainly defined by a dominant left ventricle (LV) and a rudimentary right ventricle (RV) with a large unrestrictive ventricular septal defect (VSD) (4.7 mm). (fortuneonline.org)
Aneurysm7
- In addition, superimposed ischemic mitral valve regurgitation, a ventricular aneurysm, or a combination of these conditions may be present, further compromising heart function. (medscape.com)
- Type III ruptures are characterized by early aneurysm formation and subsequent rupture of the aneurysm. (wikipedia.org)
- We report a case of left internal iliac aneurysm that ruptured into the left common iliac vein and formed an arteriovenous fistula. (bvsalud.org)
- Background: Because not much is known about the long-term results of surgical treatment of ruptured sinus of Valsalva aneurysm (RSVA), we reviewed our entire 37-year experience with this condition. (elsevierpure.com)
- Prenatal detection of membranous ventricular septal aneurysm requires clinical, morphological and functional evaluation, as the spectrum of a congenital ventricular out-pouching is vast and complex. (fortuneonline.org)
- Congenital membranous ventricular septal aneurysm (VSA) is a rare cardiac malformation that counts for less than 0.3 % of all congenital heart diseases with an equal distribution between the sexes [1,2]. (fortuneonline.org)
- Di Bello infected myocardial hydatid cyst mim- right atrium is rare and potentially has and Menendez [8] reported that in icked left ventricular aneurysm. (who.int)
Mitral4
- The differential diagnosis includes ventricular septal rupture and mitral insufficiency secondary to papillary muscle rupture, papillary muscle dysfunction, or left ventricular dilatation. (medscape.com)
- Rupture of a papillary muscle will cause acute mitral regurgitation. (wikipedia.org)
- A vicious cycle is established whereby mitral regurgitation results in ventricular dilatation, which subsequently leads to greater mitral regurgitation. (vin.com)
- When severe mitral regurgitation develops over a long period of time, the dilated left atrial chamber becomes more compliant, buffering the pressure rise in the atrium as it compensates to provide an adequate ventricular filling volume. (vin.com)
Cardiogenic shock3
- [ 1 ] The differential diagnosis of postinfarction cardiogenic shock should exclude free ventricular wall rupture and rupture of the papillary muscles. (medscape.com)
- Age, platelet count , D-dimer, and cardiogenic shock are risk factors for death after surgical treatment of myocardial infarction combined with ventricular septal rupture . (bvsalud.org)
- Impella ventricular support systems for use during cardiogenic shock and high-risk PCI. (heartrecovery.com)
Aortic1
- Other causes of rupture include cardiac trauma, endocarditis (infection of the heart), cardiac tumors, infiltrative diseases of the heart, and aortic dissection. (wikipedia.org)
Infarction23
- Postinfarction ventricular septal rupture (VSR) is a rare but lethal complication of myocardial infarction (MI). (medscape.com)
- Infarction associated with a ventricular septal rupture (VSR) is usually transmural and extensive. (medscape.com)
- Ventricular septal rupture complicating acute myocardial infarction in a patient with COVID-19. (escardio.org)
- Post-myocardial infarction ventricular septal rupture (MI-VSR) remains a dreadful complication with dismal prognosis. (springermedicine.com)
- Death-related risk factors analysis of surgical treatment of myocardial infarction combined with ventricular septal rupture]. (bvsalud.org)
- To in vestigate the death -related risk factors of surgical treatment of myocardial infarction (MI) combined with ventricular septal rupture (VSR). (bvsalud.org)
- The clinical data of patients (68 cases) with ventricular septal rupture after myocardial infarction (PI-VSR) from January 2008 to December 2020 in Beijing Anzhen Hospital were retrospectively selected and analyzed. (bvsalud.org)
- A total of 68 patients (42 were male and 26 were female , with age 44-82 (64.3±8.2) years after surgical treatment of myocardial infarction combined with ventricular septal rupture were enrolled, 9 patients died during the perioperative period , 59 surviving patients were followed up for 0.1-10.5 years(mean, 4 years), and 7 deaths during follow-up. (bvsalud.org)
- Surgery is an effective method for the treatment of myocardial infarction combined with ventricular septal rupture . (bvsalud.org)
- The most common cause of myocardial rupture is a recent myocardial infarction, with the rupture typically occurring three to five days after infarction. (wikipedia.org)
- citation needed] Risk factors for rupture after an acute myocardial infarction include female gender, advanced age of the individual, first ischemic event, and a low body mass index. (wikipedia.org)
- citation needed] Type I myocardial rupture is an abrupt slit-like tear that generally occurs within 24 hours of an acute myocardial infarction. (wikipedia.org)
- Type II ruptures typically occur more than 24 hours after the infarction occurred. (wikipedia.org)
- The incidence of myocardial rupture has decreased in the era of urgent revascularization and aggressive pharmacological therapy for the treatment of an acute myocardial infarction. (wikipedia.org)
- Ventricular septal rupture complicating acute myocardial infarction: a contemporary review. (ctsnet.org)
- This accounts for 1-5% of peri-infarction deaths and 12% of all cardiac ruptures. (gpnotebook.com)
- Ventricular septal rupture is a potentially fatal complication of acute myocardial infarction. (jccm.ro)
- In the July/August 2017 JDMS podcast, Associate Editor Derek Butler and author Michael Rampoldi discuss the article "The Role of Echocardiography in the Assessment of Ventricular Septal Rupture Postmyocardial Infarction. (libsyn.com)
- Concomitant surgical revascularization in post-infarction ventricular septal rupture. (sketchingscience.org)
- Post-infarction ventricular septal rupture repair: is it just a matter of the surgica. (sketchingscience.org)
- Right ventricular involvement in inferior ST-segment elevation myocardial infarction - incidence and significance in mid and long-term follow-up. (kardio.hr)
- 48 hours) following acute myocardial infarction or open heart surgery or in the setting of cardiomyopathy, including peripartum cardiomyopathy, or myocarditis as a result of isolated left ventricular failure that is not responsive to optimal medical management and conventional treatment measures (including volume loading and use of pressors and inotropes, with or without IABP). (heartrecovery.com)
- Exclusion requirements had been sufferers with ventricular septal papillary or flaws muscles ruptures, both because of infarction. (isme-la2019.org)
Postinfarction2
- Ventricular aneurysms are commonly associated with postinfarction VSR and contribute significantly to the hemodynamic compromise in these patients. (medscape.com)
- Sánchez Vega JD et al (2020) Temporal trends in postinfarction ventricular septal rupture: the CIVIAM Registry, Rev. Española Cardiol. (springermedicine.com)
Transcatheter closure1
- The objective of this study was to assess the immediate and mid-term results of transcatheter closure of postinfarct muscular ventricular septal defects (VSDs) using the new Amplatzer postinfarct muscular VSD device (PIMVSD). (wustl.edu)
Atrial3
- The size of the regurgitant orifice, in turn, depends on the severity of myxomatous changes in the valve and the degree of dilation and distortion of the annulus resulting from left atrial and ventricular enlargement. (vin.com)
- Severe pulmonary congestion is most likely to develop when left atrial compliance is low and the regurgitant orifice is large, as happens when a previously compensated patient suffers sudden rupture of a chordae tendineae. (vin.com)
- Ana- a fatal outcome but isolated right atrial subepicardial cyst rupture, rupture may phylactic shock may develop due to cyst wall hydatid cyst is an exceedingly rare be asymptomatic or it may cause acute rupture into the bloodstream. (who.int)
Myocardial rupture7
- Myocardial rupture is a laceration of the ventricles or atria of the heart, of the interatrial or interventricular septum, or of the papillary muscles. (wikipedia.org)
- Symptoms of myocardial rupture are recurrent or persistent chest pain, syncope, and distension of jugular vein. (wikipedia.org)
- Sudden death caused by a myocardial rupture is sometimes preceded by no symptoms. (wikipedia.org)
- Other presenting signs associated with myocardial rupture include a pericardial friction rub, sluggish flow in the coronary artery after it is opened i.e. revascularized with an angioplasty, the left anterior descending artery being often the cause of the acute MI, and delay of revascularization greater than 2 hours. (wikipedia.org)
- Due to the acute hemodynamic deterioration associated with myocardial rupture, the diagnosis is generally made based on physical examination, changes in the vital signs, and clinical suspicion. (wikipedia.org)
- citation needed] The treatment for myocardial rupture is supportive in the immediate setting and surgical correction of the rupture, if feasible. (wikipedia.org)
- citation needed] The prognosis of myocardial rupture is dependent on a number of factors, including which portion of the myocardium is involved in the rupture. (wikipedia.org)
Aneurysms1
- However, as congenital aneurysms of the membranous part of the ventricular septum have been reported to be associated with other cardiac anomalies, such as outflow tract obstructions, coarctation of the aorta, or even with chromosomal abnormalities or genetic syndromes, hemodynamic disturbance may occur in the postnatal period [9-12]. (fortuneonline.org)
Papillary muscle rupture1
- In the differential diagnosis, exclude MR from papillary muscle rupture. (medscape.com)
Echocardiography2
- Catheter ablation of ventricular tachycardia in patient with normal ECG and normal Echocardiography:the key is multi-modality imaging. (escardio.org)
- Based on fetal echocardiography distinguishment of the different conditions causing a membranous ventricular septal protrusion is often challenging, in particular in the setting of various clinical presentations and prenatal imaging [3,5,6]. (fortuneonline.org)
Defects1
- ventricular septal rupture - usually with multiple defects. (gpnotebook.com)
Closure2
- The video shows an anterior approach using a single patch technique for a ventricular septal rupture presumed to be from an ischemic event after a failed percutaneous device closure. (ctsnet.org)
- The key to management of this critical condition is an aggressive approach to haemodynamic stabilization and surgical closure of the rupture. (jccm.ro)
Obstruction2
- The rupture may be posterior or anterior, depending on the ruptured coronary obstruction. (ctsnet.org)
- A left anterior descending coronary artery obstruction would be expected to lead to an anterior septal rupture, while a posterior rupture may occur with a distal circumflex or right posterior descending coronary artery obstruction, depending on dominance. (ctsnet.org)
Posterior2
- The septal blood supply comes from branches of the left anterior descending coronary artery, the posterior descending branch of the right coronary artery, or the circumflex artery when it is dominant. (medscape.com)
- Computed tomography and ultrasonography showed a rupture of a posterior tibial artery pseudoaneurysm. (bvsalud.org)
Myocardium1
- citation needed] The rupture will most often occur near the edge of the necrotic myocardium where it abuts healthy (but hyperemic) myocardium where the inflammatory response is at its greatest. (wikipedia.org)
Cardiac tamponade1
- We concluded that death was in relation with a cardiac tamponade due to rupture of the right ventricle. (ispub.com)
Occurs2
- The rupture typically occurs 3-8 days after an MI. (medscape.com)
- Ventricular septal rupture occurs in 0.2% of myocardial infarcts and remains associated with very high morbidity and mortality. (wustl.edu)
Incidence1
- 9 The theory that a decrease in compliance and an increase in fibrosis is associated with the discovery of a higher incidence of MB, is supported by other studies in which there was a higher incidence of MB in patients with left ventricular hypertrophy (LVH), the hallmark of which is the development of myocardial fibrosis. (ecrjournal.com)
Surgery3
- In this setting, it may be reasonable to treat the rupture medically and delay or avoid surgery completely, depending on the individual's comorbid medical issues. (wikipedia.org)
- happens to be at a facility that has a cardiac surgery service (by whom a quick repair of the rupture can be attempted). (wikipedia.org)
- Where there is a small rupture and the patient is in a haemodynamically stable condition, surgery can be delayed with the prospect of achieving better perioperative results. (jccm.ro)
Coronary2
- Atherosclerotic plaques classically rupture and lead to thrombosis, contributing to acutely decreased blood flow in the coronary. (statpearls.com)
- The Impella 2.5®, Impella CP® and Impella CP® with SmartAssist® Systems are temporary (≤ 6 hours) ventricular support devices indicated for use during high-risk percutaneous coronary interventions (PCI) performed in elective or urgent, hemodynamically stable patients with severe coronary artery disease, when a heart team, including a cardiac surgeon, has determined high-risk PCI is the appropriate therapeutic option. (heartrecovery.com)
Dysfunction1
- Late arrhythmia in adults with the Mustard procedure for transposition of great arteries: a surrogate marker for right ventricular dysfunction? (bmj.com)
Presentation2
- Ventricular septal rupture carries a high risk of mortality with surgical intervention ranging from 60 percent with early intervention and decreasing with time from presentation (3). (ctsnet.org)
- Clinical presentation of cardiac [8] showed that chest pain may arise to be severe enough in the field to kill a echinococcosis depends on the site, secondary to intrapericardial rupture significant number of cysts. (who.int)
Pericardial1
- By far the most dramatic is rupture of the free wall of the left or right ventricles, as this is associated with immediate hemodynamic collapse and death secondary to acute pericardial tamponade. (wikipedia.org)
Heart3
- Another method for classifying myocardial ruptures is by the anatomical portion of the heart that has ruptured. (wikipedia.org)
- The intent of Impella System Therapy is to reduce ventricular work and to provide the circulatory support necessary to allow heart recovery and early assessment of residual myocardial function. (heartrecovery.com)
- Surgical treatment may be considered for large VTAs, a VTA with an increased size during follow-up, angina, rupture, or heart failure. (dirjournal.org)
Mortality3
- Kageyama S et al (2020) Mortality and predictors of survival in patients with recent ventricular septal rupture. (springermedicine.com)
- Even if the individual survives the initial hemodynamic sequelae of the rupture, the 30‑day mortality is still significantly higher than if rupture did not occur. (wikipedia.org)
- Blunt cardiac ruptures most commonly follow road traffic accidents and have a high mortality rate. (ispub.com)
Autopsy1
- The autopsy found a rupture of the right ventricle and bruises of the right lung associated with fractures of the sternum and ribs. (ispub.com)
Patients1
- bed into the left ventricle, from where or intramyocardial, However, when a Most patients with calcification of it could reach any part of the body cyst is located in subendocardial en- the cyst wall remain asymptomatic for through systemic circulation [1-3]. (who.int)
Disease1
- Cardiac hydatid cysts are uncom- ventricle, local intracavitary rupture is shells protect them from environmental mon in cases of hydatid disease. (who.int)
Wall3
- Arrhythmogenic right ventricular cardiomyopathy (ARVC) can mimic VDs and is characterized by functional and wall motion abnormalities (akinesia, dyskinesia) of the RV and ventricular tachyarrhythmias. (dirjournal.org)
- Exemplory case of a still left ventricular (LV) free of charge wall structure rupture (white arrow). (isme-la2019.org)
- The cycle is perpetuated as carcasses of ventricular free wall. (who.int)