Successful occlusion of ventricular septal rupture in myocardial infarction under the guidance of echocardiography
Abstract Introduction The traditional treatment of myocardial infarction with ventricular septal rupture is surgical treatment. For the elderly patients with cardiac insufficiency, surgical treatment is very risky. The successful treatment of this case by interventional occlusion is a new method. No...
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doaj-545f551182e141b982779f84c6ad879a2020-11-25T04:00:30ZengBMCJournal of Cardiothoracic Surgery1749-80902019-07-011411510.1186/s13019-019-0954-3Successful occlusion of ventricular septal rupture in myocardial infarction under the guidance of echocardiographyXiaofeng Wang0Fang Nie1Na Ye2Xuehui Liu3Shaoqing Yang4Fangzhou Guo5Jing Li6Department of Ultrasound, Lanzhou University Second HospitalDepartment of Ultrasound, Lanzhou University Second HospitalDepartment of Ultrasound, Lanzhou University Second HospitalDepartment of Ultrasound, Lanzhou University Second HospitalDepartment of Ultrasound, Lanzhou University Second HospitalDepartment of Ultrasound, Lanzhou University Second HospitalDepartment of Ultrasound, Lanzhou University Second HospitalAbstract Introduction The traditional treatment of myocardial infarction with ventricular septal rupture is surgical treatment. For the elderly patients with cardiac insufficiency, surgical treatment is very risky. The successful treatment of this case by interventional occlusion is a new method. No relevant literature reports have been found. Case A 77-year-old man with a past medical history of old myocardial infarction presented to the physician with sudden onset of palpitation and shortness of breath. Echocardiography showed thinning of the interventricular septum near the apex and bulging toward the right ventricular side with “paradoxical motion”, on which a rupture of about 8 mm in diameter was seen. CDFI: left ventricular blood shunted to the right ventricle through the rupture.Echocardiographic diagnosis: old left ventricular anteroseptal myocardial infarction with ventricular septal rupture. Due to the older age of the patient and reduced left ventricular function, surgical repair of the ventricular septal rupture site was more difficult. After multidisciplinary discussion, it was agreed that the patient could not afford thoracotomy and was not suitable for thoracotomy, and echocardiography guided interventional occlusion of the ruptured interventricular septum could be performed. Conclusion Transesophageal echocardiography-guided interventional occlusion of myocardial infarction with ventricular septal rupture in elderly patients with cardiac insufficiency is a new attempt, the successful treatment of this case shows that this method is feasible, for some patients is an appropriate treatment.http://link.springer.com/article/10.1186/s13019-019-0954-3Ventricular septal ruptureEchocardiographyInterventional occlusion |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Xiaofeng Wang Fang Nie Na Ye Xuehui Liu Shaoqing Yang Fangzhou Guo Jing Li |
spellingShingle |
Xiaofeng Wang Fang Nie Na Ye Xuehui Liu Shaoqing Yang Fangzhou Guo Jing Li Successful occlusion of ventricular septal rupture in myocardial infarction under the guidance of echocardiography Journal of Cardiothoracic Surgery Ventricular septal rupture Echocardiography Interventional occlusion |
author_facet |
Xiaofeng Wang Fang Nie Na Ye Xuehui Liu Shaoqing Yang Fangzhou Guo Jing Li |
author_sort |
Xiaofeng Wang |
title |
Successful occlusion of ventricular septal rupture in myocardial infarction under the guidance of echocardiography |
title_short |
Successful occlusion of ventricular septal rupture in myocardial infarction under the guidance of echocardiography |
title_full |
Successful occlusion of ventricular septal rupture in myocardial infarction under the guidance of echocardiography |
title_fullStr |
Successful occlusion of ventricular septal rupture in myocardial infarction under the guidance of echocardiography |
title_full_unstemmed |
Successful occlusion of ventricular septal rupture in myocardial infarction under the guidance of echocardiography |
title_sort |
successful occlusion of ventricular septal rupture in myocardial infarction under the guidance of echocardiography |
publisher |
BMC |
series |
Journal of Cardiothoracic Surgery |
issn |
1749-8090 |
publishDate |
2019-07-01 |
description |
Abstract Introduction The traditional treatment of myocardial infarction with ventricular septal rupture is surgical treatment. For the elderly patients with cardiac insufficiency, surgical treatment is very risky. The successful treatment of this case by interventional occlusion is a new method. No relevant literature reports have been found. Case A 77-year-old man with a past medical history of old myocardial infarction presented to the physician with sudden onset of palpitation and shortness of breath. Echocardiography showed thinning of the interventricular septum near the apex and bulging toward the right ventricular side with “paradoxical motion”, on which a rupture of about 8 mm in diameter was seen. CDFI: left ventricular blood shunted to the right ventricle through the rupture.Echocardiographic diagnosis: old left ventricular anteroseptal myocardial infarction with ventricular septal rupture. Due to the older age of the patient and reduced left ventricular function, surgical repair of the ventricular septal rupture site was more difficult. After multidisciplinary discussion, it was agreed that the patient could not afford thoracotomy and was not suitable for thoracotomy, and echocardiography guided interventional occlusion of the ruptured interventricular septum could be performed. Conclusion Transesophageal echocardiography-guided interventional occlusion of myocardial infarction with ventricular septal rupture in elderly patients with cardiac insufficiency is a new attempt, the successful treatment of this case shows that this method is feasible, for some patients is an appropriate treatment. |
topic |
Ventricular septal rupture Echocardiography Interventional occlusion |
url |
http://link.springer.com/article/10.1186/s13019-019-0954-3 |
work_keys_str_mv |
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