Ventricular Septal Rupture – A Critical Condition as a Complication of Acute Myocardial Infarction
Ventricular septal rupture is a potentially fatal complication of acute myocardial infarction. The key to management of this critical condition is an aggressive approach to haemodynamic stabilization and surgical closure of the rupture. Where there is a small rupture and the patient is in a haemodyn...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sciendo
2015-10-01
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| Series: | The Journal of Critical Care Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1515/jccm-2015-0030 |
| _version_ | 1797421769392390144 |
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| author | Novak Martin Hlinomaz Ota Groch Ladislav Rezek Michal Semenka Jiri Sikora Jiri Sitar Jan |
| author_facet | Novak Martin Hlinomaz Ota Groch Ladislav Rezek Michal Semenka Jiri Sikora Jiri Sitar Jan |
| author_sort | Novak Martin |
| collection | DOAJ |
| description | Ventricular septal rupture is a potentially fatal complication of acute myocardial infarction. The key to management of this critical condition is an aggressive approach to haemodynamic stabilization and surgical closure of the rupture. Where there is a small rupture and the patient is in a haemodynamically stable condition, surgery can be delayed with the prospect of achieving better perioperative results. However, in unstable critically ill patients either immediate surgery or extracorporeal membranous oxygenation support and delayed surgery is indicated. In some patients, trans-catheter closure may be considered as an alternative to surgery. |
| first_indexed | 2024-03-09T07:22:10Z |
| format | Article |
| id | doaj.art-a2eea19d39a54ccbafceb2c701f7375a |
| institution | Directory Open Access Journal |
| issn | 2393-1817 |
| language | English |
| last_indexed | 2024-03-09T07:22:10Z |
| publishDate | 2015-10-01 |
| publisher | Sciendo |
| record_format | Article |
| series | The Journal of Critical Care Medicine |
| spelling | doaj.art-a2eea19d39a54ccbafceb2c701f7375a2023-12-03T07:16:48ZengSciendoThe Journal of Critical Care Medicine2393-18172015-10-011416216610.1515/jccm-2015-0030jccm-2015-0030Ventricular Septal Rupture – A Critical Condition as a Complication of Acute Myocardial InfarctionNovak Martin0Hlinomaz Ota1Groch Ladislav2Rezek Michal3Semenka Jiri4Sikora Jiri5Sitar Jan6International Clinical Research Center, St. Anne’s University Hospital Brno, Pekařská 53, 656 91, Brno, Czech RepublicInternational Clinical Research Center, St. Anne’s University Hospital Brno, Pekařská 53, 656 91, Brno, Czech RepublicInternational Clinical Research Center, St. Anne’s University Hospital Brno, Pekařská 53, 656 91, Brno, Czech RepublicInternational Clinical Research Center, St. Anne’s University Hospital Brno, Pekařská 53, 656 91, Brno, Czech RepublicInternational Clinical Research Center, St. Anne’s University Hospital Brno, Pekařská 53, 656 91, Brno, Czech RepublicInternational Clinical Research Center, St. Anne’s University Hospital Brno, Pekařská 53, 656 91, Brno, Czech RepublicInternational Clinical Research Center, St. Anne’s University Hospital Brno, Pekařská 53, 656 91, Brno, Czech RepublicVentricular septal rupture is a potentially fatal complication of acute myocardial infarction. The key to management of this critical condition is an aggressive approach to haemodynamic stabilization and surgical closure of the rupture. Where there is a small rupture and the patient is in a haemodynamically stable condition, surgery can be delayed with the prospect of achieving better perioperative results. However, in unstable critically ill patients either immediate surgery or extracorporeal membranous oxygenation support and delayed surgery is indicated. In some patients, trans-catheter closure may be considered as an alternative to surgery.https://doi.org/10.1515/jccm-2015-0030ventricular septal ruptureacute myocardial infarctionmechanical complicationstiming of surgeryextracorporeal membraneous oxygenationtranscatheter closure |
| spellingShingle | Novak Martin Hlinomaz Ota Groch Ladislav Rezek Michal Semenka Jiri Sikora Jiri Sitar Jan Ventricular Septal Rupture – A Critical Condition as a Complication of Acute Myocardial Infarction The Journal of Critical Care Medicine ventricular septal rupture acute myocardial infarction mechanical complications timing of surgery extracorporeal membraneous oxygenation transcatheter closure |
| title | Ventricular Septal Rupture – A Critical Condition as a Complication of Acute Myocardial Infarction |
| title_full | Ventricular Septal Rupture – A Critical Condition as a Complication of Acute Myocardial Infarction |
| title_fullStr | Ventricular Septal Rupture – A Critical Condition as a Complication of Acute Myocardial Infarction |
| title_full_unstemmed | Ventricular Septal Rupture – A Critical Condition as a Complication of Acute Myocardial Infarction |
| title_short | Ventricular Septal Rupture – A Critical Condition as a Complication of Acute Myocardial Infarction |
| title_sort | ventricular septal rupture a critical condition as a complication of acute myocardial infarction |
| topic | ventricular septal rupture acute myocardial infarction mechanical complications timing of surgery extracorporeal membraneous oxygenation transcatheter closure |
| url | https://doi.org/10.1515/jccm-2015-0030 |
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