scholarly journals LEFT VENTRICULAR ANEURYSM AND VENTRICULAR SEPTAL DEFECT FOLLOWING MYOCARDIAL INFARCTION: A DANGEROUS COCKTAIL

2021 ◽  
Vol 07 (06) ◽  
Author(s):  
HALA EL ASSILI ◽  
Keyword(s):  
Myocardial Infarction ◽  
Ventricular Septal Defect ◽  
Poor Prognosis ◽  
Septal Defect ◽  
Interventricular Septum ◽  
Surgical Techniques ◽  
Left Ventricular ◽  
Left Ventricular Aneurysm ◽  
Mechanical Complication ◽  
Ventricular Aneurysm

An ischemic ventricular septal defect (VSD) is a lethal complication of myocardial infarction (MI), commonly from 24 hours to up to 5 days of presentation with AMI. Despite the improvement of surgical techniques, the mortality is still very high with poor prognosis. Left ventricular aneurysm (LVA) may also be a fatal mechanical complication of MI but rarely occurs in the posterior or inferior portion of the interventricular septum. Concomitant AMI mechanical complications in the same patient are less than infrequent with poor prognosis, particularly with late hospital arrival. We present an unusual case of post-myocardial infarction ventricular septal rupture (PI-VSR) combined with left ventricular inferior/inferoseptal aneurysm that was managed surgically. The aim of this article is to make clinician alerted in case of mechanical complication, especially when post-MI patients become hemodynamically unstable with refractory congestive heart failure.

scholarly journals Left Ventricular Aneurysmectomy and Repair of Post-infarct Ventricular Septal Defect with Concomitant Aortocoronary Bypass Grafting: A Video Presentation

2019 ◽  
pp. 59-61
Author(s):  
Ujjwal Kumar Chowdhury ◽  
Niwin George ◽  
Abhinavsingh Chauhan ◽  
Lakshmi Kumari Sankhyan ◽  
Jhulana Kumar Jena ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Surgical Techniques ◽  
Left Ventricular ◽  
Left Ventricular Aneurysm ◽  
Bypass Grafting ◽  
Ventricular Aneurysm ◽  
Successful Operation ◽  
Aortocoronary Bypass Grafting

Mechanical complications resulting from myocardial infarction usually have profound acute or chronic hemodynamic effects. Left ventricular aneurysm formation and ventricular septal rupture occurs in 10-20% patients after acute myocardial infarction [1-6]. Surgical techniques have gradually evolved since the first successful operation for post-infarct ventricular septal defect was performed by Cooley and colleagues in 1956 [2,3,6].

scholarly journals Ventricular Septal Defect and Left Ventricular Aneurysm. Late Occurrence as Complications of an Acute Myocardial Infarction.

2000 ◽  
Vol 41 (6) ◽  
pp. 773-779 ◽  
Author(s):  
Maurice Rachko ◽  
Arshad M. Safi ◽  
Hal L. Chadow ◽  
Alan F. Lyon ◽  
David Gunsburg ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Left Ventricular ◽  
Left Ventricular Aneurysm ◽  
Ventricular Aneurysm

scholarly journals Repair of ventricular septal defect and left ventricular aneurysm following myocardial infarction

Thorax ◽  
1971 ◽  
Vol 26 (5) ◽  
pp. 615-618 ◽  
Author(s):  
Z. Schlesinger ◽  
Y. Lieberman ◽  
A. Landesberg ◽  
H. N. Neufeld
Keyword(s):  
Myocardial Infarction ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Left Ventricular ◽  
Left Ventricular Aneurysm ◽  
Ventricular Aneurysm

Left Ventricular Aneurysm Repair with Endoaneurysmorrhaphy Technique: An Assessment of Two Different Ventriculotomy Closure Methods

2016 ◽  
Vol 19 (2) ◽  
pp. 054
Author(s):  
Eldaniz Aliyev ◽  
Ahmet Dolapoglu ◽  
Ilimbek Beketaev ◽  
Cagatay Engin ◽  
Tahir Yagdi ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Postoperative Bleeding ◽  
Left Ventricular ◽  
Left Ventricular Geometry ◽  
Left Ventricular Aneurysm ◽  
Mechanical Complication ◽  
Ventricular Aneurysm ◽  
Direct Closure ◽  
Aneurysm Repair ◽  
Repair Techniques

<strong>Background:</strong> Left ventricular aneurysm is a serious mechanical complication of myocardial infarction and has an incidence of 10-35% after myocardial infarction. Ventricular aneurysm in patients with angina, heart failure, and ventricular arrhythmia should be surgically treated. Endoaneurysmorrhaphy is one of the repair techniques that results in better left ventricular geometry and function. After this surgical procedure the ventriculotomy is repaired either with Teflon felt strips or by direct suture of the epicardium. <br /><strong>Methods:</strong> In this study, we described the postoperative early outcomes of two ventriculotomy closing techniques such as Teflon felt versus direct closure after aneurysm repair. This retrospective study included a total of 73 patients (mean age &gt; 70 years) with left ventricular aneurysm, who underwent endoaneurysmorrhaphy repair between 1997 and 2009. All selected patients were divided into two groups according to the ventriculotomy closure technique either by Teflon felt or direct by epicardial closure. The pre-, intra-, and postoperative results of these patients were analyzed accordingly. <br /><strong>Results:</strong> The postoperative early mortality rate and postoperative bleeding were not significantly different between the Teflon felt and primary closure groups (P = .246 and <br />P = .371 respectively), but postoperative arrhythmias were significantly higher in the Teflon felt repair group (P = .049). <br /><strong>Conclusion:</strong> Endoaneurysmorrhaphy is a better surgical technique in left ventricle aneurysm to restore the internal contour and preserve the surface anatomy of the ventricle. The ventriculotomy closure can be performed with two different approaches, including Teflon felt strips or by direct suture of the epicardium. Based on this study’s findings, two repair techniques have similar impact on the early outcomes. However, with overall outcomes with respect to Teflon felt repair, direct closure of the ventriculotomy after endoaneurysmorrhaphy was superior.

scholarly journals Repair of traumatic ventricular septal defect and left ventricular aneurysm after blunt chest trauma

2020 ◽  
Vol 32 (1) ◽  
pp. 156-158
Author(s):  
Tao Shi ◽  
Rui Liu ◽  
Changwei Zhang ◽  
Shaoxian Guo
Keyword(s):  
Ventricular Septal Defect ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Septal Defect ◽  
Left Ventricular ◽  
Left Ventricular Aneurysm ◽  
Ventricular Aneurysm ◽  
Traumatic Ventricular Septal Defect ◽  
Patch Technique

Abstract Blunt chest trauma can cause a variety of cardiac injuries, either immediately or days after the trauma. We report a case of traumatic ventricular septal defect and ribbonlike left ventricular aneurysm, which was diagnosed 15 years after the initial blunt chest trauma. It was successfully repaired using the endoventricular patch technique with a satisfactory 1-year follow-up result.

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