Ventricular septal defect: early against late surgical repair
Ventricular septal defect (VSD) is a rare complication of right ventricular infarction (RVI) which is associated with significant mortality, if not treated appropriately. It typically occurs within the first 10–14 days after myocardial infarction. Surgical repair has been shown to reduce in-hospital...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Greater Baltimore Medical Center
2016-02-01
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| Series: | Journal of Community Hospital Internal Medicine Perspectives |
| Subjects: | |
| Online Access: | http://www.jchimp.net/index.php/jchimp/article/view/30460/pdf_47 |
| _version_ | 1797969647107047424 |
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| author | Waqas J. Siddiqui Praneet Iyer Samridhi Amba Salman Muddassir Oleg Cheboterav |
| author_facet | Waqas J. Siddiqui Praneet Iyer Samridhi Amba Salman Muddassir Oleg Cheboterav |
| author_sort | Waqas J. Siddiqui |
| collection | DOAJ |
| description | Ventricular septal defect (VSD) is a rare complication of right ventricular infarction (RVI) which is associated with significant mortality, if not treated appropriately. It typically occurs within the first 10–14 days after myocardial infarction. Surgical repair has been shown to reduce in-hospital mortality from 90% to 33–45%. Early surgical VSD repair has also been associated with high 30-day operative mortality of 34–37%. Furthermore, after an acute MI the friable myocardium enhances the risk of recurrent VSD with early surgical repair. We present a case of a middle-aged woman who developed VSD after an RVI. Her surgical repair was delayed by 2 weeks due to development of Staphylococcus aureus bacteremia. During this period, she was managed medically and later on underwent percutaneous repair with an amplatzer VSD occluder device. Keeping this patient encounter in mind, we would like to emphasize on the limited recommendations available for early against late surgical repair of VSD. |
| first_indexed | 2024-04-11T03:05:05Z |
| format | Article |
| id | doaj.art-760a1443edbf45a9a812427a78ee1347 |
| institution | Directory Open Access Journal |
| issn | 2000-9666 |
| language | English |
| last_indexed | 2024-04-11T03:05:05Z |
| publishDate | 2016-02-01 |
| publisher | Greater Baltimore Medical Center |
| record_format | Article |
| series | Journal of Community Hospital Internal Medicine Perspectives |
| spelling | doaj.art-760a1443edbf45a9a812427a78ee13472023-01-02T13:20:26ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662016-02-01611310.3402/jchimp.v6.3046030460Ventricular septal defect: early against late surgical repairWaqas J. Siddiqui0Praneet Iyer1Samridhi Amba2Salman Muddassir3Oleg Cheboterav4 Internal Medicine Department, Saint Francis Medical Center, Trenton, NJ, USA Internal Medicine Department, Saint Francis Medical Center, Trenton, NJ, USA Internal Medicine Department, Saint Francis Medical Center, Trenton, NJ, USA Department of Internal Medicine, Oak Hill Medical Center, Jacksonville, FL, USA Department of Cardiology, Saint Francis Medical Center, Trenton, NJ, USAVentricular septal defect (VSD) is a rare complication of right ventricular infarction (RVI) which is associated with significant mortality, if not treated appropriately. It typically occurs within the first 10–14 days after myocardial infarction. Surgical repair has been shown to reduce in-hospital mortality from 90% to 33–45%. Early surgical VSD repair has also been associated with high 30-day operative mortality of 34–37%. Furthermore, after an acute MI the friable myocardium enhances the risk of recurrent VSD with early surgical repair. We present a case of a middle-aged woman who developed VSD after an RVI. Her surgical repair was delayed by 2 weeks due to development of Staphylococcus aureus bacteremia. During this period, she was managed medically and later on underwent percutaneous repair with an amplatzer VSD occluder device. Keeping this patient encounter in mind, we would like to emphasize on the limited recommendations available for early against late surgical repair of VSD.http://www.jchimp.net/index.php/jchimp/article/view/30460/pdf_47right ventricular myocardial infarctionventricular septal ruptureearly against late repair |
| spellingShingle | Waqas J. Siddiqui Praneet Iyer Samridhi Amba Salman Muddassir Oleg Cheboterav Ventricular septal defect: early against late surgical repair Journal of Community Hospital Internal Medicine Perspectives right ventricular myocardial infarction ventricular septal rupture early against late repair |
| title | Ventricular septal defect: early against late surgical repair |
| title_full | Ventricular septal defect: early against late surgical repair |
| title_fullStr | Ventricular septal defect: early against late surgical repair |
| title_full_unstemmed | Ventricular septal defect: early against late surgical repair |
| title_short | Ventricular septal defect: early against late surgical repair |
| title_sort | ventricular septal defect early against late surgical repair |
| topic | right ventricular myocardial infarction ventricular septal rupture early against late repair |
| url | http://www.jchimp.net/index.php/jchimp/article/view/30460/pdf_47 |
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