Endovascular correction of postinfarction ventricular septal defect: own successful experience

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Abstract

Despite the current development of cardiology, postinfarction rupture of the interventricular septum (IVS) is one of the most hazardous, life-threatening complications of acute myocardial infarction. The paper describes a clinical case of a 63-year-old female patient with a history of an acute ST-elevation myocardial infarction complicated by IVS rupture. The difficulties in the management of this patient and a comparative analysis of our treatment strategy with the available modern literature data on this issue are also presented.

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About the authors

Muzaffar Zh. Zhuraliev

Multidisciplinary Medical Center “Ezgu Niyat”

Email: mjuraliev@mail.ru
Uzbekistan, Tashkent

Gulnora A. Nagaeva

Multidisciplinary Medical Center “Ezgu Niyat”

Email: nagaeva.gulnora@mail.ru
ORCID iD: 0000-0001-8643-0201

MD, Cand. Sci. (Med.)

Uzbekistan, 6, Olmazor str., Tashkent city

Vasily N. Li

Multidisciplinary Medical Center “Ezgu Niyat”

Email: vasiliyli1983@gmail.com
Uzbekistan, Tashkent

Nozima D. Buranova

Multidisciplinary Medical Center “Ezgu Niyat”

Email: tim.tim0407@gmail.com
Uzbekistan, Tashkent

Hasan A. Akhmedov

Multidisciplinary Medical Center “Ezgu Niyat”

Email: dr.khasan@gmail.com
Uzbekistan, Tashkent

Khurshid K. Rakhmonov

Multidisciplinary Medical Center “Ezgu Niyat”

Email: Dr.Rakhmanov@gmail.com
Uzbekistan, Tashkent

Khasan A. Olimov

Multidisciplinary Medical Center “Ezgu Niyat”

Email: mcmarner07@gmail.com
Uzbekistan, Tashkent

Sherzot N. Sobirov

Multidisciplinary Medical Center “Ezgu Niyat”

Author for correspondence.
Email: shersodsobirov@mail.ru
Uzbekistan, Tashkent

Jamshid K. Sodikov

Multidisciplinary Medical Center “Ezgu Niyat”

Email: dr.jamshidsadiq@gmail.com
Uzbekistan, Tashkent

Jakhongir A. Nabiev

Multidisciplinary Medical Center “Ezgu Niyat”

Email: dr.djakhongir@gmail.com
Uzbekistan, Tashkent

References

  1. Menon V, Webb JG, Hillis LD, et al. Outcome and profile of ventricular septal rupture with cardiogenic shock after myocardial infarction: a report from the SHOCK Trial Registry. Journal of the American College of Cardiology. 2000;36(3):1110–1116. doi: 10.1016/s0735-1097(00)00878-0
  2. Latham PM. Lectures on subjects connected with clinical medicine comprising disease of the heart. London: Longmans, Brown, Green and Longmans; 1846. P:168–176 [cited 2022 Apr 08]. Available from: https://archive.org/details/lecturesonsubjec02lath/page/n6.
  3. umj.com.ua [Internet]. Osadchii AI. Postinfarktnyi razryv mezhzheludochkovoi peregorodki. Lіkaryu-praktiku. 2018 Sep. 13 [cited 2022 Apr 08]. Available from: https://www.umj.com.ua/article/129821/postinfarktnyj-razryv-mezhzheludochkovoj-peregorodki.
  4. www.acc.org [Internet]. Goyal A, Menon V. Contemporary Management of Post-MI Ventricular Septal Rupture. 2018 Jul. 30. JACC Cardiology [cited 2022 Apr 08]. Available from: https://www.acc.org/latest-in-cardiology/articles/2018/07/30/06/58/contemporary-management-of-post-mi-ventricular-septal-rupture.
  5. emedicine.medscape.com [Internet]. Bhimji SH. Ventricular septal rupture following myocardial infarction. 2021 Sep. 17. Medscape [cited 2022 Apr 08]. Available from: https://emedicine.medscape.com/article/428240-overview.
  6. Park JY, Park SH, Oh JY, et al. Delayed Ventricular Septal Rupture after Percutaneous Coronary Intervention in Acute Myocardial Infarction. The Korean Journal of Internal Medicine. 2005;20(3):243–246. doi: 10.3904/kjim.2005.20.3.243
  7. Poulsen SH, Praestholm M, Munk K, et al. Ventricular septal rupture complicating acute myocardial infarction: clinical characteristics and contemporary outcome. Ann Thorac Surg. 2008;85(5):1591–1596. doi: 10.1016/j.athoracsur.2008.01.010
  8. Harikrishnan S, Tharakan J, Titus T, et al. Ventricular septal rupture following myocardial infarction: clinical, haemodynamic, angiographic profile and long-term outcome. Int J Cardiol. 2007;120(2):279–280. doi: 10.1016/j.ijcard.2006.07.199
  9. Assenza GE, McElhinney DB, Valente AM, et al. Transcatheter closure of post-myocardial infarction ventricular septal rupture. Circ Cardiovasc Interv. 2013;6(1):59–67. doi: 10.1161/CIRCINTERVENTIONS.112.972711
  10. Labrousse L, Choukroun E, Chevalier JM, et al. Surgery for post infarction ventricular septal defect (VSD): risk factors for hospital death and long term results. Eur J Cardiothorac Surg. 2002;21(4):725–731. doi: 10.1016/s1010-7940(02)00054-4
  11. Pojar M, Harrer J, Omran N, et al. Surgical treatment of postinfarction ventricular septal defect: risk factors and outcome analysis. Interactive CardioVascular and Thoracic Surgery. 2018;26(1):41–46. doi: 10.1093/icvts/ivx230
  12. Arnaoutakis GJ, Zhao Y, George TJ, et al. Surgical Repair of Ventricular Septal Defect After Myocardial Infarction: Outcomes From The Society of Thoracic Surgeons National Database. The Annals of Thoracic Surgery. 2012;94(2):436–444. doi: 10.1016/j.athoracsur.2012.04.020
  13. Shtatolkina MA, Shipulin VM, Ryabov VV, et al. Successful experience in the correction of post-infarction ventricular septal defect. Cardiology. 2019;59(9S):63–68. (In Russ). doi: 10.18087/cardio.n473
  14. Arora R, Trehan V, Kumar A, et al. Transcatheter Closure of Congenital Ventricular Septal Defects: Experience with Various Devices. Journal of Interventional Cardiology. 2003;16(1):83–91. doi: 10.1046/j.1540-8183.2003.08006.x
  15. Michel-Behnke INA, Waldecker B, Akintuerk H, et al. Percutaneous Closure of Congenital and Acquired Ventricular Septal Defects-Considerations on Selection of the Occlusion Device. Journal of Interventional Cardiology. 2005;18(2):89–99. doi: 10.1111/j.1540-8183.2005.04051.x
  16. Edwards BS, Edwards WD, Edwards JE. Ventricular septal rupture complicating acute myocardial infarction: identification of simple and complex types in 53 autopsied hearts. Am J Cardiol. 1984;54(10):1201–1205. doi: 10.1016/s0002-9149(84)80067-3
  17. Khelimskiy DA, Krestyaninov OV, Osiev AG, et al. Endovascular treatment of postinfarction ventricular septal defects. Circulation pathology and cardiac surgery. 2016;20(2):80–86. (In Russ). doi: 10.21688-1681-3472-2016-2-80-86
  18. Sugiki H, Murashita T, Kunihara T, et al. Risk factors for the surgical repair of ventricular septal perforation; an 8-year multiinstitutional analysis. Kyobu Geka. 2005;58(4):278–283.
  19. Thiele H, Kaulfersch C, Daehnert I, et al. Immediate primary transcatheter closure of postinfarction ventricular septal defects. European Heart Journal. 2008;30(1):81–88. doi: 10.1093/eurheartj/ehn524
  20. Papalexopoulou N, Young CP, Attia RQ. What is the best timing of surgery in patients with post-infarct ventricular septal rupture? Interactive CardioVascular and Thoracic Surgery. 2012;16(2):193–196. doi: 10.1093/icvts/ivs444
  21. Scanlon PJ, Montoya A, Johnson SA, et al. Urgent surgery for ventricular septal rupture complicating acute myocardial infarction. Circulation. 1985;72(3 Pt 2):II185–II190.

Supplementary files

Supplementary Files
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1. JATS XML
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2. Fig. 1. Electrocardiogram of the patient dated February 8, 2020, showing signs of impaired coronary circulation in leads V2–V4.

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3. Fig. 2. Transcatheter closure of a postinfarction ventricular septal defect: a, contrasting; b, delivery of the occluder; c, opening of the left disc of the occluder; d, opening of the right disk of the occluder; e, disengagement of the delivery system from the occluder.

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4. Fig. 3. Electrocardiogram of the patient dated February 17, 2020.

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5. Fig. 4. Endovascular angioplasty of the coronary arteries: a, diagnostic coronary angiography, stenosis of the anterior interventricular branch; b, stenting of the anterior interventricular branch; c, coronary angiography after stenting; d, diagnostic coronary angiography, stenosis of the right coronary artery; e, stenting of the right coronary artery.

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6. Fig. 5. Electrocardiogram of the patient before hospital discharge on February 24, 2020.

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