Intra-aortic balloon pump insertion through the right subclavian artery in a patient of anterior wall myocardial infarction with ventricular septal rupture and severe peripheral artery obstruction disease

2014 ◽  
Vol 88 (3) ◽  
pp. E99-E102 ◽  
Author(s):  
Kamal H. Sharma ◽  
Bhavik S. Shah ◽  
Nikhil D. Jadhav
Keyword(s):  
Myocardial Infarction ◽  
Subclavian Artery ◽  
Anterior Wall ◽  
Ventricular Septal Rupture ◽  
Peripheral Artery ◽  
Intra Aortic Balloon Pump ◽  
Anterior Wall Myocardial Infarction ◽  
The Right ◽  
Artery Obstruction

scholarly journals Successful Percutaneous Device Closure of Ventricular Septal Rupture in a Patient with Acute Anterior Wall Myocardial Infarction and Cardiogenic Shock

2019 ◽  
pp. 1-5
Author(s):  
Gurkirat Singh ◽  
Mahesh Bodkhe ◽  
Akshat Jain ◽  
Narender Omprakash Bansal
Keyword(s):  
Myocardial Infarction ◽  
Cardiogenic Shock ◽  
Coronary Intervention ◽  
Anterior Wall ◽  
Mechanical Complication ◽  
Ventricular Septal Rupture ◽  
St Segment Elevation ◽  
Peripheral Hospital ◽  
Septal Occluder Device ◽  
Anterior Wall Myocardial Infarction

Post-infarction ventricular septal rupture (VSR) is a rare but lethal mechanical complication of acute myocardial infarction. The incidence of VSR has decreased from 1-3% following ST-segment elevation myocardial infarction in the pre-reperfusion era to 0.17-0.31% following primary percutaneous coronary intervention. Survival to 1 month without intervention is 6%. We report a case of a 60-year-old male, admitted in a peripheral hospital with acute anterior wall myocardial Infarction. He was thrombolized with streptokinase. He developed breathlessness at rest and shifted to our hospital for further management. On evaluation in intensive care unit found to have VSR. The patient was in cardiogenic shock. The ventricular septal rupture was successfully closed with a septal occluder device. After which the patient stabilized hemodynamically and was discharged after 8 days.

scholarly journals Delayed ventricular septal rupture complicating anterior wall myocardial infarction

2016 ◽  
pp. bcr2016215523
Author(s):  
Rajdip Dulai ◽  
Aye Hline ◽  
Mahvesh Rana Javaid ◽  
Javed Akhtar
Keyword(s):  
Myocardial Infarction ◽  
Anterior Wall ◽  
Ventricular Septal Rupture ◽  
Anterior Wall Myocardial Infarction

Electrocardiographic change after recanalization in a patient with recent extensive anterior wall myocardial infarction

2009 ◽  
Vol 42 (5) ◽  
pp. 445-448
Author(s):  
Yasushi Akutsu ◽  
Hideki Nishimura ◽  
Yuji Hamazaki ◽  
Kyouichi Kaneko ◽  
Yusuke Kodama ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Anterior Wall ◽  
Electrocardiographic Change ◽  
Anterior Wall Myocardial Infarction

scholarly journals Transcatheter closure of ventricular septal rupture with prolonged support of intra-aortic balloon pump after primary PCI: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chuan Yang ◽  
Yong Sun ◽  
Deling Zou ◽  
Zhaoqing Sun ◽  
Xinzhong Zhang ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Transcatheter Closure ◽  
Interventricular Septum ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Drug Eluting Stent ◽  
Ventricular Septal Rupture ◽  
Total Occlusion ◽  
Ventricular Ejection Fraction ◽  
Intra Aortic Balloon Pump

Abstract Background Ventricular septal rupture (VSR) is a rare but severe complication of acute myocardial infarction (AMI). For such cases, surgical repair is recommended by major guidelines, but not always possible for such cases. Case presentation A 72-year-old man presented to the emergency room. ECG showed the ST-segment was elevated by 2–3 mm in lead II, III, and aVF, with Q-waves. Coronary angiography (CAG) showed multi-vessel disease with a total occlusion of the right coronary artery (RCA) and severe stenosis of the left anterior descending artery (LAD). A diagnosis of acute inferior myocardial infarction was made. VSR occurred immediately after percutaneous coronary intervention (a 2.5 × 20 mm drug-eluting stent implanted in RCA), and the patient developed cardiogenic shock. An intra-aortic balloon pump (IABP) was used to stabilize the hemodynamics. Transthoracic echocardiography (TTE) revealed an 11.4-mm left-to-right shunt in the interventricular septum. An attempt was made to reduce the IABP augmentation ratio for weaning on day 12 but failed. Transcatheter closure was conducted using a 24-mm double-umbrella occluder on day 28. The patient was weaned from IABP on day 31 and underwent secondary PCI for LAD lesions on day 35. The patient was discharged on day 41. Upon the last follow-up 6 years later, CAG and TTE revealed no in-stent restenosis, no left-to-right shunt, and 51% left ventricular ejection fraction. Conclusions Prolonged implementation of IABP can be a viable option to allow deferred closure of VSR in AMI patients, and transcatheter closure may be considered as a second choice for the selected senior and vulnerable patients, but the risk is still high.

scholarly journals COVID-19 Pneumonia Precipitating Acute Anterior Wall Myocardial Infarction With Large Left Ventricular Apical Thrombus

2021 ◽  
Vol 12 (6) ◽  
pp. 251-255
Author(s):  
Sabu John ◽  
Sudhanva Hegde ◽  
Syed Hussain ◽  
Inna Bukharovich ◽  
Suzette Graham-Hill ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Anterior Wall ◽  
Left Ventricular ◽  
Anterior Wall Myocardial Infarction
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