Emergency Surgical Repair of Post Infarction Ventricular Septal Rupture

Y. Mubarak
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Abstract

Ventricular septal rupture (VSR) is a life-threatening complication of myocardial infarction (MI). Surgery remains the only option; however it is still a challenging (1). Patients survive following medical management have poor outcome, so, its result is disappointing (2). Primary percutaneous coronary intervention (PCI) can be reduced VSR incidence. Medical treatment has high mortality, and early surgery is recommended to prevent hemodynamic deterioration. However, surgery also associated to a high of mortality rate (3). Transcatheter device closure is an option in critical cases (4).
梗死后室间隔破裂的急诊外科修复
室间隔破裂(VSR)是心肌梗死(MI)的一种危及生命的并发症。手术仍然是唯一的选择;然而,这仍然是一个具有挑战性的问题(1)。患者在接受医疗管理后生存率较差,因此,其结果令人失望(2)。经皮冠状动脉介入治疗(PCI)可以降低VSR的发生率。药物治疗死亡率高,建议早期手术以防止血流动力学恶化。然而,手术也与高死亡率相关(3)。在危重病例中,经导管装置闭合是一种选择(4)。
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