<abstract xmlns="http://www.w3.org/1999/xhtml"><p> Ventricular septal rupture is a potentially fatal complication of acute myocardial infarction. The key to management of this critical condition is an aggressive approach to haemodynamic stabilization and surgical closure of the rupture. Where there is a small rupture and the patient is in a haemodynamically stable condition, surgery can be delayed with the prospect of achieving better perioperative results. However, in unstable critically ill patients either immediate surgery or extracorporeal membranous oxygenation support and delayed surgery is indicated. In some patients, trans-catheter closure may be considered as an alternative to surgery.</p></abstract>

Ventricular septal rupture is a potentially fatal complication of acute myocardial infarction. The key to management of this critical condition is an aggressive approach to haemodynamic stabilization and surgical closure of the rupture. Where there is a small rupture and the patient is in a haemodynamically stable condition, surgery can be delayed with the prospect of achieving better perioperative results. However, in unstable critically ill patients either immediate surgery or extracorporeal membranous oxygenation support and delayed surgery is indicated. In some patients, trans-catheter closure may be considered as an alternative to surgery.

Ventricular Septal Rupture – A Critical Condition as a Complication of Acute Myocardial Infarction

International Clinical Research Center, St. Anne’s University Hospital Brno, Pekařská 53, 656 91, Brno, Czech Republic

The Journal of Critical Care Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Ventricular septal rupture is a potentially fatal complication of acute myocardial infarction. The key to management of this critical condition is an...

Ventricular Septal Rupture – A Critical Condition as a Complication of Acute Myocardial Infarction

Published Online: Nov 10, 2015

Page range: 162 - 166

Received: Jun 24, 2015

Accepted: Sep 10, 2015

DOI: https://doi.org/10.1515/jccm-2015-0030

Keywords
ventricular septal rupture, acute myocardial infarction, mechanical complications, timing of surgery, extracorporeal membraneous oxygenation, transcatheter closure

© 2015

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Ventricular Septal Rupture – A Critical Condition as a Complication of Acute Myocardial Infarction

Published Online: Nov 10, 2015

Page range: 162 - 166

Received: Jun 24, 2015

Accepted: Sep 10, 2015

DOI: https://doi.org/10.1515/jccm-2015-0030

Keywordsventricular septal rupture, acute myocardial infarction, mechanical complications, timing of surgery, extracorporeal membraneous oxygenation, transcatheter closure

© 2015

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Keywords
ventricular septal rupture, acute myocardial infarction, mechanical complications, timing of surgery, extracorporeal membraneous oxygenation, transcatheter closure