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Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

Lysenko A.V.

Petrovsky Russian Scientific Center of Surgery

Lednev P.V.

Petrovsky Russian Scientific Center of Surgery

Salagaev G.I.

Petrovsky Russian Scientific Center of Surgery

Grabuzdov A.M.

Petrovsky National Research Center of Surgery

Simultaneous surgical correction of post-infarction left ventricular aneurysm and residual ventricular septal defect in long-term period after transcatheter implantation of occluders

Authors:

Belov Yu.V., Lysenko A.V., Lednev P.V., Salagaev G.I., Grabuzdov A.M.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(4): 73‑77

DOI: 10.17116/hirurgia202104173

Views: 1559

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To cite this article:

Belov YuV, Lysenko AV, Lednev PV, Salagaev GI, Grabuzdov AM. Simultaneous surgical correction of post-infarction left ventricular aneurysm and residual ventricular septal defect in long-term period after transcatheter implantation of occluders. Pirogov Russian Journal of Surgery. 2021;(4):73‑77. (In Russ.)
https://doi.org/10.17116/hirurgia202104173

Подписка 2025 (Pirogov Russian Journal of Surgery)
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Post-infarction ventricular septal defect (VSD) is a rare but formidable complication of myocardial infarction following mortality rate up to 90% without invasive treatment. Surgical closure is preferred for VSD. The authors report successful surgical treatment of a patient with post-infarction LV aneurysm and residual post-infarction VSD in 5 years after implantation of two occluders.

Keywords:

post-infarction ventricular septal defect
occluder
VSD recanalization
residual shunt

Authors:

Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

Lysenko A.V.

Petrovsky Russian Scientific Center of Surgery

Lednev P.V.

Petrovsky Russian Scientific Center of Surgery

Salagaev G.I.

Petrovsky Russian Scientific Center of Surgery

Grabuzdov A.M.

Petrovsky National Research Center of Surgery

Received:

20.10.2020

Accepted:

10.12.2020

List of references:

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  2. Crenshaw BS, Granger CB, Birnbaum Y, Pieper KS, Morris DC, Kleiman NS, et al. Risk factors, angiographic patterns, and outcomes in patients with ventricular septal defect complicating acute myocardial infarction. GUSTO-I (Global Utilization of Streptokinase and TPA for Occluded Coronary Arteries) Trial Investigators. Circulation. 2000;101(1):27-32. 
  3. Moreyra AE, Huang MS, Wilson AC, et al. Trends in incidence and mortality rates of ventricular septal rupture during acute myocardial infarction. Am J Cardiol. 2010;106:1095-1100.
  4. Antman EM, Anbe DT, Armstrong PW, Bates ER, Green LA, Hand M, et al. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction — executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1999 Guidelines for the Management of Patients with Acute Myocardial Infarction) [published erratum appears in Circulation. 2005;111(15):2013]. Circulation. 2004;110(5):588-636. 
  5. Antman EM, Hand M, Armstrong PW, Bates ER, Green LA, Halasyamani LK, et al. 2007 Focused Update of the ACC/AHA 2004 Guidelines for the Management of Patients with ST-Elevation Myocardial Infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the Canadian Cardiovascular Society endorsed by the American Academy of Family Physicians: 2007 Writing Group to Review New Evidence and Update the ACC/AHA 2004 Guidelines for the Management of Patients with ST-Elevation Myocardial Infarction, Writing on Behalf of the 2004 Writing Committee [published erratum appears in Circulation. 2008;117(6):e162]. Circulation. 2008;117(2):296-329. 
  6. Calvert PA, Cockburn J, Wynne D, et al. Percutaneous closure of postinfarction ventricular septal defect: in-hospital outcomes and long-term follow-up of UK experience. Circulation. 2014;129(23):2395-2402.
  7. Schlotter F, Waha S, Eitel I, Desch S, Fuernau G, Thiele H. Interventional post-myocardial infarction ventricular septal defect closure: a systematic review of current evidence. EuroIntervention. 2016;12(1):94-102. 
  8. Holzer R, de Giovanni J, Walsh KP, Tometzki A, Goh T, Hakim F, et al. Transcatheter closure of perimembranous ventricular septal defects using the Amplatzer membranous VSD occluder: immediate and midterm results of an international registry. Catheter Cardiovasc Interv. 2006;68(4):620-628. 
  9. Costache VS, Chavanon O, Bouvaist H, Blin D. Early Amplatzeroccluder closure of a postinfarct ventricular septal defect as a bridge to surgical procedure. Interact Cardiovasc Thorac Surg. 2007;6(4):503-504. 
  10. Pang PY, Sin YK, Lim CH, Tan TE, Lim SL, Chao VT, et al. Outcome and survival analysis of surgical repair of post-infarction ventricular septal rupture. J Cardiothorac Surg. 2013;8:44. 
  11. Serpytis P, Karvelyte N, Serpytis R, Kalinauskas G, Rucinskas K, Samalavicius R, et al. Post-infarction ventricular septal defect: risk factors and early outcomes. Hellenic J Cardiol. 2015;56:66-71. 
  12. Takahashi H, Arif R, Almashhoor A, Ruhparwar A, Karck M, Kallenbach K. Long-term results after surgical treatment of postinfarction ventricular septal rupture. Eur J Cardiothorac Surg. 2015;47:720-724. 
  13. Arnaoutakis GJ, Zhao Y, George TJ, Sciortino CM, McCarthy PM, Conte JV. Surgical repair of ventricular septal defect after myocardial infarction: outcomes from the Society of Thoracic Surgeons National Database. Ann Thorac Surg. 2012;94:436-443. 
  14. Belov YuV, Varaksin VA. Akinetic and dyskinetic postinfarction left ventricular aneurysms: clinical features and postoperative outcomes. Grudnaya i serdechno-sosudistaya khirurgiya. 2002;5:23-27. (In Russ.).

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