Case Report (n=2)
No
Peri-operative management of post-MI VSR requires careful hemodynamic optimization, including afterload reduction and maintenance of the SVR/PVR ratio, to facilitate successful surgical repair.
Ventricular septal rupture (VSR) is a life threatening complication of myocardial infarction (MI). The incidence of post-MIVSR varied from 1% to 3% in the pre-thrombolytic era. There is almost a 10-fold decrease in the reported incidences (0.2-0.3%) of MIVSR today. The mortality in such an event is as high as 50-90%. Prognosis of post-MIVSR depends on prompt echo diagnosis and proactive surgical therapy. The peri-operative challenges during management of such a case can be enormous.
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Kumar et al. (2014) conducted a case report in Post myocardial infarction ventricular septal rupture (n=2). Emergency surgical repair (CABG and VSR closure) was evaluated on Clinical outcome (survival).
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