Management of Post Infarction Ventricular Septal Defect

Shimu Paul; Md Sirajul Islam; Siba Pada Roy; Niaz Ahmed; MH Mina; - Md Jalaluddin

doi:10.3329/icmj.v3i1-2.52865

Authors

Shimu Paul Registrar, Department of Cardiac surgery, Ibrahim Cardiac Hospital & Research Institute, Shahbag, Dhaka-1000
Md Sirajul Islam Associate Professor & Consultant, Department of Cardiac Anesthesiology, Ibrahim Cardiac Hospital & Research Institute, Shahbag, Dhaka-1000
Siba Pada Roy Assistant Professor & Associate Consultant, Department of Cardiac Anesthesiology, Ibrahim Cardiac Hospital & Research Institute, Dhaka-1000
Niaz Ahmed Consultant, Department of Cardio-thoracic Anaesthesia & I C U, Apollo Hospital, Dhaka-1229
MH Mina Professor & Senior Consultant, Department of Cardiac surgery, ICHRI, Shahbag, Dhaka-1000
- Md Jalaluddin Senior Consultant & Head, Department of Cardiac surgery, Ibne Sina Cardiac Hospital, Dhanmondi, Dhaka-1209

Keywords:

Ventricular septal rupture, Coronary artery bypass graf.

Abstract

Ventricular septal rupture remains an infrequent but a serious, devastating and life threating complication of acute myocardial infarction. We report a case of 74 years old man with post infarction anterior ventricular septal rupture who was successfully managed. Ventricular septal rupture was closed by artificial (gortex) patch; concomitant coronary artery bypass grafting was done. Postoperative complications included reopening for excessive bleeding, low cardiac output with high inotropic support. A rapid diagnosis, aggressive medical management and prompt surgical intervention are required to optimize survival and recovery in patients who present with septal rupture complicating myocardial infarction.

Ibrahim Cardiac Med J 2013; 3(1&2): 49-52

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Management of Post Infarction Ventricular Septal Defect

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