Authors:
Rajesh Rajan Department of Cardiology, Kerala Institute of Medical Sciences (KIMS), Trivandrum, Kerala, 695035, India

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N. P. Padmaja Department of Cardiology, Kerala Institute of Medical Sciences (KIMS), Trivandrum, Kerala, 695035, India

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V. Ramakrishna Pillai Department of Cardiology, Kerala Institute of Medical Sciences (KIMS), Trivandrum, Kerala, 695035, India

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Rachel Daniel Department of Cardiology, Kerala Institute of Medical Sciences (KIMS), Trivandrum, Kerala, 695035, India

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Govindan Vijayaraghavan Department of Cardiology, Kerala Institute of Medical Sciences (KIMS), Trivandrum, Kerala, 695035, India

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Abstract

Ventricular septal rupture (VSR) is a rather rare, but at the same time very dreadful complication of acute myocardial infarction in the percutaneous coronary intervention (PCI) era and only limited evidence exist on the optimal treatment of this critical medical condition. VSR is less common following successful early thrombolysis and PCI occurring in myocardium supplied by infarct-related artery (IRA). We report two well-documented cases of successful VSR treatment which will provide valuable information for clinical practice especially due to the long-tem follow-up. Both cases underwent delayed elective surgical closure of VSR. This report clearly describes the incidence, potential risks and timing of occurrence, clinical features, and outcomes of ventricular septal rupture complicating acute myocardial infarction (AMI) after PCI. Hence the topic of this report is of great importance. Although the prognosis of patients who develop VSR is generally grave without immediate surgical repair, both our patients remained hemodynamically stable at discharge and during follow-up of more than 4 years.

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    • Search Google Scholar
    • Export Citation
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    • Search Google Scholar
    • Export Citation
  • 26. J.K. French A.S. Hellkamp P.W. Armstrong E. Cohen N.S. Kleiman C.M. O'Connor D.R. Holmes J.S. Hochman C.B. Granger K.W. Mahaffey 2010 Mechanical complications after percutaneous coronary intervention in ST-elevation myocardial infarction (from APEX-AMI) Am J Cardiol 105 59 63.

    • Search Google Scholar
    • Export Citation
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2019  
Scimago
H-index
11
Scimago
Journal Rank
0,220
Scimago
Quartile Score
Medicine (miscellaneous) Q3
Scopus
Cite Score
155/133=1,2
Scopus
Cite Score Rank
General Medicine 199/529 (Q2)
Scopus
SNIP
0,343
Scopus
Cites
206
Scopus
Documents
23

 

Interventional Medicine and Applied Science
Language English
Size  
Year of
Foundation
2009
Publication
Programme
changed title
Volumes
per Year
 
Issues
per Year
 
Founder Akadémiai Kiadó
Founder's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Publisher Akadémiai Kiadó
Publisher's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Responsible
Publisher
Chief Executive Officer, Akadémiai Kiadó
ISSN 2061-1617 (Print)
ISSN 2061-5094 (Online)

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