Successful experience in the correction of post-infarction ventricular septal defect
M. A. Shtatolkina,
V. M. Shipulin,
V. V. Ryabov,
V. I. Varvarenko,
V. V. Zatolokin,
A. A. Sokolov,
S. V. Demianov,
R. S. Karpov Abstract
Rupture of the interventricular septum (MVP) as a complication of acute myocardial infarction is a rare event and associated with high mortality without timely surgical treatment. We present a case of a 68-year-old patient who had an acute myocardial infarc‑ tion with ST-segment elevation complicated by a rupture of MVP. In this article we discusse the difficulties of patient management with this pathology and the problem of choice of treatment tactics.
About the Authors
M. A. Shtatolkina
Tomsk National Research Medical Center of the Russian Academy of Science, Cardiology Research Institute
Russian Federation
Russian Federation
PhD, cardiologist, Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia
V. M. Shipulin
Tomsk National Research Medical Center of the Russian Academy of Science, Cardiology Research Institute
Russian Federation
M.D., Professor, head of the Department of cardiovascular surgery, Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia
Russian Federation
M.D., Professor, head of the Department of cardiovascular surgery, Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia
V. V. Ryabov
Tomsk National Research Medical Center of the Russian Academy of Science, Cardiology Research Institute; Siberian State Medical University
Russian Federation
Depute director for scientific and medical work, head of emergency cardiology department Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Professor Department of cardiology Siberian State Medical University, Cardiology Department at the Continuous Medical Education Faculty, Tomsk, Russia
Russian Federation
Depute director for scientific and medical work, head of emergency cardiology department Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Professor Department of cardiology Siberian State Medical University, Cardiology Department at the Continuous Medical Education Faculty, Tomsk, Russia
V. I. Varvarenko
Tomsk National Research Medical Center of the Russian Academy of Science, Cardiology Research Institute
Russian Federation
Russian Federation
PhD, senior researcher Department of x-ray surgery, Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia
V. V. Zatolokin
Tomsk National Research Medical Center of the Russian Academy of Science, Cardiology Research Institute
Russian Federation
Junior researcher Department of cardiovascular surgery, Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia
Russian Federation
Junior researcher Department of cardiovascular surgery, Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia
A. A. Sokolov
Tomsk National Research Medical Center of the Russian Academy of Science, Cardiology Research Institute
Russian Federation
Professor, Head of the Department of ultrasound and functional diagnostics Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia
Russian Federation
Professor, Head of the Department of ultrasound and functional diagnostics Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia
S. V. Demianov
Tomsk National Research Medical Center of the Russian Academy of Science, Cardiology Research Institute
Russian Federation
RhD, Heard of emergency cardiology Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia
Russian Federation
RhD, Heard of emergency cardiology Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia
R. S. Karpov
Tomsk National Research Medical Center of the Russian Academy of Science, Cardiology Research Institute
Russian Federation
Russian Federation
Professor, Acadimic Russian Academy of Science, Heard of scientific direction Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russia
References
1. Latham P.M. Lectures on subjects connected with clinical medicine comprising disease of the heart. – London: Longmans, Brown, Green and Longmans; 168–176 p. [Av. at: https:// archive.org/details/lecturesonsubjec02lath/page/n6]
2. Menon V, Webb JG, Hillis LD, Sleeper LA, Abboud R, Dzavik V et al. Outcome and profile of ventricular septal rupture with cardiogenic shock after myocardial infarction: a report from the SHOCK Trial Registry. Journal of the American College of Cardiology. 2000;36(3):1110–6. DOI: 10.1016/S07351097(00)00878-0
3. Serpytis P, Karvelyte N, Serpytis R, Kalinauskas G, Rucinskas K, Samalavicius R et al. Post-infarction ventricular septal defect: risk factors and early outcomes. Hellenic journal of cardiology: HJC = Hellenike kardiologike epitheorese. 2015;56(1):66–71. PMID: 25701974
4. Takahashi H, Arif R, Almashhoor A, Ruhparwar A, Karck M, Kallenbach K. Long-term results after surgical treatment of postinfarction ventricular septal rupture. European Journal of Cardio-Thoracic Surgery. 2015;47(4):720–4. DOI: 10.1093/ ejcts/ezu248
5. Labrousse L, Choukroun E, Chevalier J, Madonna F, Robertie F, Merlico F et al. Surgery for post infarction ventricular septal defect (VSD): risk factors for hospital death and long term results1. European Journal of Cardio-Thoracic Surgery. 2002;21(4):725–32. DOI: 10.1016/S1010-7940(02)00054-4
6. Pojar M, Harrer J, Omran N, Turek Z, Striteska J, Vojacek J. Surgical treatment of postinfarction ventricular septal defect: risk factors and outcome analysis. Interactive CardioVascular and Thoracic Surgery. 2018;26(1):41–6. DOI: 10.1093/icvts/ivx230
7. Thiele H, Kaulfersch C, Daehnert I, Schoenauer M, Eitel I, Borger M, et al. Immediate primary transcatheter closure of postinfarction ventricular septal defects. European Heart Journal. 2008;30(1):81–8. DOI: 10.1093/eurheartj/ehn524
8. Khelimskiy D.A., Krestyaninov O.V., Osiev A.G., Shermuk A.A., Grankin D.S., Kretov E.I. et al. Endovascular treatment of postin farction ventricular septal defects. Circulation Pathology and Cardiac Surgery. 2016;20 (2):80–6. DOI: 10.21688/1681-3472-2016-2-80-86
9. Zhbanov I. V., Molochkov A.V., Aksel’rod B. A., Shmyrin M. M., Fedulova S.V., Shabalkin B.V. Surgical treatment of postinfarctial ruptures of interventricular septum. Pirogov Russian Journal of Surgery. 2013;2:35–9.
10. Andrievskikh S.I., Piskunov S.A., Lukin O.P., Derksen S.A. Case report of combined correction of postinfarction ventricular septal defect. Circulation Pathology and Cardiac Surgery. 2013;17 (1):87–9.
11. Arnaoutakis GJ, Zhao Y, George TJ, Sciortino CM, McCarthy PM, Conte JV. Surgical Repair of Ventricular Septal Defect After Myocardial Infarction: Outcomes from The Society of Thoracic Surgeons National Database. The Annals of Thoracic Surgery. 2012;94(2):436–44. DOI: 10.1016/j.athoracsur.2012.04.020
Review
For citations:
Shtatolkina M.A., Shipulin V.M., Ryabov V.V., Varvarenko V.I., Zatolokin V.V., Sokolov A.A., Demianov S.V., Karpov R.S. Successful experience in the correction of post-infarction ventricular septal defect. Kardiologiia. 2019;59(9S):63-68. (In Russ.)
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