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Ventricular Septal Rupture Complicating an Acute ST-Segment Elevation Myocardial Infarction during the COVID-19
Ines V Tanto1, Surya Dharma1, Dafsah A Juzar1
1Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia, National Cardiovascular Center Harapan Kita, Jakarta, Indonesia.
Insights
Ventricular septal rupture (VSR) after myocardial infarction (MI) is a rare but serious complication. This case study successfully treated VSR with surgical closure and coronary artery bypass grafting during the COVID-19 pandemic.
Area of Science:
- Cardiology
- Cardiac Surgery
- Infectious Diseases (COVID-19)
Background:
- Ventricular septal rupture (VSR) is a rare, lethal complication of acute myocardial infarction (MI).
- Optimal surgical timing for VSR repair, especially during the COVID-19 pandemic, remains controversial.
- Intensive cardiovascular care unit management is crucial for hemodynamic stability and patient prognosis before VSR surgery.
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.
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