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Hemodynamic complications of ventricular septal rupture after acute myocardial infarction

✍ Scribed by Brett M. Sasseen; Osvaldo S. Gigliotti; Steven Lavine; Paul S. Gilmore; Robert Percy; Theodore A. Bass

Publisher
John Wiley and Sons
Year
2003
Tongue
English
Weight
250 KB
Volume
60
Category
Article
ISSN
1522-1946

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✦ Synopsis

Abstract

Ventricular septal rupture (VSR) is a rare but serious complication following acute myocardial infarction (MI). Patients may present with a new murmur associated with a thrill. Right heart catheterization will demonstrate elevated right atrial and pulmonary artery pressures as well as an oxygen step‐up at the right ventricular level. Patients with a right ventricular infarction or cardiogenic shock and a ventricular septal rupture have high in‐hospital mortality rates. Prompt diagnosis followed by surgical repair is essential for patients with VSR following MI. Catheter Cardiovasc Interv 2003;60:509–514. Β© 2003 Wiley‐Liss, Inc.

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