Ventricular Septal Rupture – A Critical Condition as a Complication of Acute Myocardial Infarction

Autor: Novak Martin, Hlinomaz Ota, Groch Ladislav, Rezek Michal, Semenka Jiri, Sikora Jiri, Sitar Jan
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: The Journal of Critical Care Medicine, Vol 1, Iss 4, Pp 162-166 (2015)
Druh dokumentu: article
ISSN: 2393-1817
DOI: 10.1515/jccm-2015-0030
Popis: 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.
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