Ventricular septal rupture (VSR) is a complication of myocardial infarction. Surgery is the only treatment; however, mortality is high, especially if it is performed within 7 days from presentation. The improved outcome with delayed intervention could be related to evolution of the infarct, which allows a more effective surgical repair. However, it is also a representation of survival bias, as an early surgery is usually performed on individuals with hemodynamic instability. We present a case of VSR complicated by cardiogenic shock. An early hemodynamic stabilization was achieved with Impella implantation; the delay in surgery allowed a reduction in surgical risk.
Ancona, M.b., Regazzoli, D., Mangieri, A., Monaco, F., De Bonis, M., Latib, A. (2017). Post-infarct ventricular septal rupture: early Impella implantation to delay surgery and reduce surgical risk. CARDIOVASCULAR INTERVENTION AND THERAPEUTICS, 32(4), 381-385 [10.1007/s12928-016-0428-7].
Post-infarct ventricular septal rupture: early Impella implantation to delay surgery and reduce surgical risk
Monaco F;
2017
Abstract
Ventricular septal rupture (VSR) is a complication of myocardial infarction. Surgery is the only treatment; however, mortality is high, especially if it is performed within 7 days from presentation. The improved outcome with delayed intervention could be related to evolution of the infarct, which allows a more effective surgical repair. However, it is also a representation of survival bias, as an early surgery is usually performed on individuals with hemodynamic instability. We present a case of VSR complicated by cardiogenic shock. An early hemodynamic stabilization was achieved with Impella implantation; the delay in surgery allowed a reduction in surgical risk.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
