Anterior Myocardial Infarction and Nitinol Mesh Occluder for Atrial Septal Defect, a Fortunate Discovery
| Autor: | Oana-Viola Badulescu, Paul-Dan Sirbu, Magda Badescu, Codruta Badescu, Teodor Flaviu Vasilcu, Maria-Cristina Vladeanu, Dan Iliescu, Andrei Bojan, Iris Bararu Bojan, Igor Nedelciuc, Carmen Elena Plesoianu, Manuela Ciocoiu |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry Materials Science (miscellaneous) Process Chemistry and Technology General Engineering Anterior myocardial infarction General Chemistry General Medicine General Biochemistry Genetics and Molecular Biology Internal medicine Materials Chemistry Cardiology Medicine cardiovascular diseases General Pharmacology Toxicology and Pharmaceutics business |
| Zdroj: | Revista de Chimie. 70:2096-2098 |
| ISSN: | 2668-8212 0034-7752 |
| Popis: | Atrial septal defects represent an abnormal communication between the left and the right atria. Some patients may experience dyspnoea, fatigue, others may suffer directly from complications, like arrhythimias, paradoxal embolisation, resulting in stroke, but some remain asymptomatic until adulthood. When possible, the gold standard treatment is percutaneous closure with nitinol messh occluder. We are presenting the case of a 50-year-old patient with an acute anterior myocardial infarction, whose echocardiography showed akinesia of the left ventricular apex and anterior wall, as well as a surprise element, not connected to the myocardial infarction, a 22 mm atrial defect, with a shunt ratio higher than 1.5. Our first concern was the cardiovascular emergency. The coronarography revealed a critical stenosis of the proximal left anterior descendent and we introduced a stent. In a second phase,we evaluated the atrial septal defect. Since it had indication for percutaneous closure, we decided to use an Amplatzer occluder. The intervention was a success, with no residual shunt. The patient�s follow up was good, with no cardiovascular events. Most of time, cardiovascular diseases are not isolated, but come together, related or not to one another. An adequate management implies treating the cardiovascular emergency first and solving the associated lesions in a second phase. |
| Databáze: | OpenAIRE |
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