Surgical treatment of rupture of the anterior wall of the left ventricle in the apical region with the formation of a false aneurysm in the acute stage of myocardial infarction
S. A. Fedorov,
P. N. Kordatov,
L. N. Antsygina,
V. G. Petrenko,
S. G. Esin,
L. M. Tselousova,
A. V. Krylov,
D. V. Usachev https://doi.org/10.18087/cardio.2020.11.n977
Abstract
One of the most dangerous complications of acute myocardial infarction (MI) is external or internal left ventricular rupture. Despite multiple studies on early diagnostics and algorithms for routing of patients with complicated MI, mortality in this patient group remains extremely high. Presently available publications on the tactics of managing patients with cardiac rupture are very scarce, and expectancies of surgical treatment are questionable. The provided clinical example demonstrates effectiveness of early open-heart surgical intervention, which supports the requirement for aggressive tactics for patients with cardiac rupture.
Supporting agencies: No conflict of interest is reported.
About the Authors
S. A. Fedorov
«Specialized cardiosurgical clinical hospital named after academician B. A. Korolev», Nizhnу Novgorod, Russia
Russian Federation
Ph.D., cardiovascular surgeon of the III cardiac surgery department
Russian Federation
Ph.D., cardiovascular surgeon of the III cardiac surgery department
P. N. Kordatov
«Specialized cardiosurgical clinical hospital named after academician B. A. Korolev», Nizhnу Novgorod, Russia
Russian Federation
Ph.D., head of the III cardiac surgery department
Russian Federation
Ph.D., head of the III cardiac surgery department
L. N. Antsygina
«Specialized cardiosurgical clinical hospital named after academician B. A. Korolev», Nizhnу Novgorod, Russia
Russian Federation
Ph.D., cardiologist of the III cardiac surgery department
Russian Federation
Ph.D., cardiologist of the III cardiac surgery department
V. G. Petrenko
«Specialized cardiosurgical clinical hospital named after academician B. A. Korolev», Nizhnу Novgorod, Russia
Russian Federation
cardiovascular surgeon of the III cardiac surgery department
Russian Federation
cardiovascular surgeon of the III cardiac surgery department
S. G. Esin
«Specialized cardiosurgical clinical hospital named after academician B. A. Korolev», Nizhnу Novgorod, Russia
Russian Federation
Ph.D.,cardiovascular surgeon of the III cardiac surgery department
Russian Federation
Ph.D.,cardiovascular surgeon of the III cardiac surgery department
L. M. Tselousova
Institution of Higher Education «Privolzhsky Research Medical University» of the Ministry of Health, Nizhny Novgorod, Russia
Russian Federation
cardiovascular surgeon, post-graduate student of the department of hospital surgery named after B. A. Korolev
Russian Federation
cardiovascular surgeon, post-graduate student of the department of hospital surgery named after B. A. Korolev
A. V. Krylov
«Specialized cardiosurgical clinical hospital named after academician B. A. Korolev», Nizhnу Novgorod, Russia
Russian Federation
cardiovascular surgeon of the III cardiac surgery department
Russian Federation
cardiovascular surgeon of the III cardiac surgery department
D. V. Usachev
«Specialized cardiosurgical clinical hospital named after academician B. A. Korolev», Nizhnу Novgorod, Russia
Russian Federation
cardiovascular surgeon of the III cardiac surgery department
Russian Federation
cardiovascular surgeon of the III cardiac surgery department
References
1. Bokeriya L.A., Alshibaya M.M., Vishchipanov S.A., Kovalenko O.A., Vishchipanov A.S., Amirbekov M.M. et al. To the question about the long-term results of surgical treatment of CHD patients with postinfarction ventricular septal rupture. The Bulletin of Bakoulev Center Cardiovascular Diseases. 2017;18(1):13–8.
2. Glynn P., Lloyd-Jones D.M., Feinstein M.J., Carnethon M., Khan S.S. Disparities in Cardiovascular Mortality Related to Heart Failure in the United States. Journals of the American College of Cardiology 2019; 73(18):2354-2355. doi: 10.1016/j.jacc.2019.02.042.PMID: 31072580
3. Alshibaya M.M. Strategy and surgical technique for post-infarction heart ruptures. Cardiology: news, opinions, training. 2017;1(12):66.
4. Glushchenko V. A., Irklienko E. K. Cardiovascular morbidity is one of the most important health problems. Medicine and organization of health care. 2019;4(1):56-63.
5. 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.
6. Kovalchuk E.Yu., Soroka V.V., Rysev A.V. Post-infarction cardiac rupture: epidimiologic and clinical (based on materials “ST.-Petersburg Scientific Research Institute for emergency care” named I.I. Dzhanelidze). Herald of North-Western State Medical University named after I.I. Mechnikov. 2015;7(2):63–7.
7. Dalen J.E., Alpert J.S., Goldberg R.J., Weinstein R.S. The epidemic of the 20(th) century: coronary heart disease. Am J Med. 2014;127(9):807-12. doi: 10.1016/j.amjmed.2014.04.015. Epub 2014 May 5.
8. Schuuring MJ, Robbers-Visser D, Driessen AHG, Piek JJ. An anterolateral papillary muscle rupture due to inferoposterior ischaemia. Netherlands Heart Journal. 2020;28(6):356–7. DOI: 10.1007/s12471-019-01355-3
9. Smit M, Coetzee AR, Lochner A. The Pathophysiology of Myocardial Ischemia and Perioperative Myocardial Infarction. Journal of Cardiothoracic and Vascular Anesthesia. 2020;34(9):2501–12. DOI: 10.1053/j.jvca.2019.10.005
10. Rudenko D.A., Vitsukaev V.V., Makal’skiy P.D., Tsikanova N.M. Successful surgical management of a patient with multiple postinfarction ventricular septal ruptures. Russian journal of thoracic and cardiovascular surgery. 2019;61(4):355–60. DOI: 10.24022/0236-2791-2019-61-4-355-360
11. Rudakova L.E., Rakhmatullov F.K., Bondarenko L.A., Fatkabrarov M.F., Fatkabrarova A.M. Retrospective analysis of myocardial rupture cases in patients with acute myocardial infarction. Russian Cardiology Journal. 2010;15(4):10–4.
Review
For citations:
Fedorov S.A., Kordatov P.N., Antsygina L.N., Petrenko V.G., Esin S.G., Tselousova L.M., Krylov A.V., Usachev D.V. Surgical treatment of rupture of the anterior wall of the left ventricle in the apical region with the formation of a false aneurysm in the acute stage of myocardial infarction. Kardiologiia. 2020;60(11):148–152. (In Russ.) https://doi.org/10.18087/cardio.2020.11.n977
Views:
1897
Email this article 
Post a Comment 
