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Utility of cardiac MRI in determining percutaneous versus surgical post-infarction ventricular septal defect repair
- Source :
- Future cardiology. 14(2)
- Publication Year :
- 2018
-
Abstract
- Aim: Postmyocardial infarction ventricular septal defect (VSD) is a rare complication that can lead to rapid hemodynamic patient decompensation. The type of VSD repair relies on several factors including: size, location, timing and surgical expertise. Case: A 63-year-old man with a ST-elevation myocardial infarction underwent percutaneous coronary intervention of the right coronary artery. A holosystolic murmur was notable postcatheterization, and transthoracic echocardiogram confirmed a VSD. To characterize the VSD, a cardiac MRI demonstrated a large, serpiginous VSD and longitudinal septal tear. Given the anatomic complexity and stable hemodynamics, a surgical trans-left ventricular patch repair was performed. Conclusion: We emphasize the importance of cardiac magnetic resonance as a decision-making tool, utilizing imaging to ascertain the anatomy combined with hemodynamics to determine optimal individualized therapy.
- Subjects :
- Heart Septal Defects, Ventricular
Male
congenital, hereditary, and neonatal diseases and abnormalities
medicine.medical_specialty
Cardiac Catheterization
Septal Occluder Device
medicine.medical_treatment
Heart Ventricles
Infarction
Magnetic Resonance Imaging, Cine
030204 cardiovascular system & hematology
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
Internal medicine
medicine.artery
medicine
Humans
cardiovascular diseases
Myocardial infarction
Cardiac Surgical Procedures
Cardiac imaging
Cardiac catheterization
business.industry
Percutaneous coronary intervention
Middle Aged
medicine.disease
Cardiac surgery
Echocardiography
Right coronary artery
cardiovascular system
Cardiology
Molecular Medicine
ST Elevation Myocardial Infarction
Transthoracic echocardiogram
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 17448298
- Volume :
- 14
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Future cardiology
- Accession number :
- edsair.doi.dedup.....9d68b3991435364e14ba9e95d6a69afa