Ventricular Septal Rupture Complicating an Acute ST-Segment Elevation Myocardial Infarction during the COVID-19 Pandemic.

IF 0.5 Q4 PERIPHERAL VASCULAR DISEASE
Ines V Tanto, Surya Dharma, Dafsah A Juzar, Arinto A H Bono
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引用次数: 0

Abstract

Ventricular septal rupture (VSR) is rare but a lethal complication of acute myocardial infarction (MI). Definite treatment requires the surgical closure of the VSR and coronary artery bypass grafting (CABG). However, the optimal timing for surgery is still controversial, particularly during the novel coronavirus disease 2019 (COVID-19) pandemic where medical procedures should be performed within the safest environment. Before surgery, a proper management in the intensive cardiovascular care unit is essential to maintain the stability of the hemodynamic profile related with VSR and determines the prognosis of the patient. We described a case of VSR complicating an anterior wall MI in a patient who admitted to our hospital during the COVID-19 pandemic that was treated successfully by surgical closure of the VSR and CABG.

COVID-19大流行期间室间隔破裂并发急性st段抬高型心肌梗死
室间隔破裂(VSR)是一种罕见但致命的急性心肌梗死并发症。明确的治疗需要手术关闭VSR和冠状动脉搭桥术(CABG)。然而,手术的最佳时机仍然存在争议,特别是在2019年新型冠状病毒病(COVID-19)大流行期间,医疗程序应在最安全的环境中进行。术前,在心血管重症监护病房进行适当的管理对于维持与VSR相关的血流动力学特征的稳定性和决定患者的预后至关重要。我们描述了一例在COVID-19大流行期间入院的VSR合并前壁心肌梗死的患者,该患者通过手术关闭VSR和CABG成功治疗。
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来源期刊
International Journal of Angiology
International Journal of Angiology PERIPHERAL VASCULAR DISEASE-
CiteScore
1.30
自引率
16.70%
发文量
57
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