Percutaneous Post-Myocardial Infarction Ventricular Septal Rupture Closure: A Review
| Autor: | David Zhao, Mousumi M. Andersen |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Surgical repair
medicine.medical_specialty Percutaneous business.industry Mortality rate Infarction medicine.disease Ventricular Septal Rupture medicine.anatomical_structure Internal medicine medicine Cardiology cardiovascular diseases Myocardial infarction Cardiology and Cardiovascular Medicine business Complication Artery |
| Zdroj: | Structural Heart. 2:121-126 |
| ISSN: | 2474-8706 |
| DOI: | 10.1080/24748706.2017.1421799 |
| Popis: | Ventricular septal rupture remains a rare, but most often lethal, complication of acute myocardial infarction. Current guidelines recommend emergent surgical repair of post-myocardial ventricular septal rupture, with concomitant coronary artery bypass grafting as indicated. Though surgery provides improved survival over medical management alone, mortality rates remain up to 60%. With technological advances, percutaneous closure has emerged as an alternative management option. In this review, we address patient selection, timing, success, mortality, and complications of transcatheter post-myocardial infarction ventricular septal rupture closure. Current data reveal a lower mortality as compared to surgical management. The optimal device for closure remains uncertain. Timing of closure >14 days after myocardial infarction appears to be associated with greater procedural success; however, delaying repair introduces a selection bias. Complications include device embolization, arrhythmia, residual shun... |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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