Olgu Sunumu
BibTex RIS Kaynak Göster

Intra-operative diagnosis in an adult patient operated with the pre-diagnosis of ventricular septal rupture after acute infero-post MI: Congenital posterior ventricular septal defect

Yıl 2021, Cilt: 12 Sayı: 4, 458 - 472, 22.12.2021
https://doi.org/10.18663/tjcl.962060

Öz

Ventricular septal rupture is one of the most important and life-threatening mechanical complications of myocardial infarction. In particular, infero-posterior ventricular septal defect occurring after posterior myocardial infarction is a more catastrophic clinical condition and surgical treatment is more difficult. In an adult patient with myocardial infarction, a ventricular septal defect was found in the posterior ventricular septum. The patient developed pulmonary edema was diagnosed with ventricular septal rupture as a mechanical complication in addition to myocardial infarction. However, while it was observed that ventricular septal rupture did not occur as a mechanical complication due to myocardial infarction in surgical treatment, and it was determined that the patient had a congenital ventricular septal defect accompanying coronary artery disease. Congenital posterior ventricular septal defect was successfully closed with a Dacron patch via right atriotomy. Since we have not encountered such a case in the literature before, we want to present this case

Kaynakça

  • 1. Cicekcioglu F, Tutun U, Demirtas E et al. Repair of postinfarction ventricular septal defect through the right atrium. Thorac Cardiovasc Surg 2006; 54: 426-8.
  • 2. Muehrcke DD, Daggett WM. Current surgical approach to acute ventricular septal rupture. Adv Card Surg 1995; 6: 69-90.
  • 3. Coskun KO, Coskun ST, Popov AF et al. Experiences with surgical treatment of ventricle septal defect as a post infarction complication. J Cardiothorac Surg 2009; 4: 3.
  • 4. Filgueira JL, Battistessa SA, Estable H, Lorenzo A, Cassinelli M, Scola R. Delayed repair of an acquired posteior septal defect through a right atrial apporoach. Ann Thorac Surg 1986; 42: 208-9.
  • 5. Massetti M, Babatasi G, Le Page O, Bhoyroo S, Saloux E, Khayat A. Postinfarction ventricular septal rupture: early repair through the right atrial approach. J Thorac Cardiovasc Surg 2000; 119: 784-9.
  • 6. Lee WY, Kim SJ, Kim KI et al. Transatrial repair of post-infarction posterior ventricular septal rupture. Korean J Thorac Cardiovasc Surg 2011; 44: 186-8.
  • 7. Frassani R, Gelsomino S. A right atrial approach in redo postinfarction ventricular septal defect. Cardiovasc Surg 1999; 7; 656–8.

Akut infero-posterior miyokard enfarktüsü sonrası ventriküler septal rüptür ön tanısı ile ameliyat edilen erişkin bir hastada intraoperatif tanı: Konjenital posterior ventriküler septal defekt

Yıl 2021, Cilt: 12 Sayı: 4, 458 - 472, 22.12.2021
https://doi.org/10.18663/tjcl.962060

Öz

Ventriküler septal rüptür, miyokard enfarktüsünün en önemli ve hayatı tehdit eden mekanik komplikasyonlarından biridir. Özellikle posterior miyokard enfarktüsü sonrası oluşan infero-posterior ventriküler septal defekt daha ağır bir klinik durumdur ve cerrahi tedavisi daha zordur. Miyokard enfarktüslü erişkin bir hastada posterior ventriküler septumda ventriküler septal defekt bulundu. Pulmoner ödem gelişen hastaya, miyokard enfarktüsüne ek, mekanik komplikasyon olarak gelişen ventriküler septal rüptür tanısı konuldu. Ancak cerrahi tedavide miyokard enfarktüsüne bağlı mekanik bir komplikasyon olarak ventriküler septal rüptür izlenmezken, hastanın koroner arter hastalığına eşlik eden doğuştan ventriküler septal defekt olduğu belirlendi. Konjenital posterior ventriküler septal defekt sağ atriyotomi yaklaşımıyla Dacron yama kullanılarak başarılı bir şekilde kapatıldı. Literatürde daha önce böyle bir vaka ile karşılaşmadığımız için bu vakayı sunmak istedik.

Kaynakça

  • 1. Cicekcioglu F, Tutun U, Demirtas E et al. Repair of postinfarction ventricular septal defect through the right atrium. Thorac Cardiovasc Surg 2006; 54: 426-8.
  • 2. Muehrcke DD, Daggett WM. Current surgical approach to acute ventricular septal rupture. Adv Card Surg 1995; 6: 69-90.
  • 3. Coskun KO, Coskun ST, Popov AF et al. Experiences with surgical treatment of ventricle septal defect as a post infarction complication. J Cardiothorac Surg 2009; 4: 3.
  • 4. Filgueira JL, Battistessa SA, Estable H, Lorenzo A, Cassinelli M, Scola R. Delayed repair of an acquired posteior septal defect through a right atrial apporoach. Ann Thorac Surg 1986; 42: 208-9.
  • 5. Massetti M, Babatasi G, Le Page O, Bhoyroo S, Saloux E, Khayat A. Postinfarction ventricular septal rupture: early repair through the right atrial approach. J Thorac Cardiovasc Surg 2000; 119: 784-9.
  • 6. Lee WY, Kim SJ, Kim KI et al. Transatrial repair of post-infarction posterior ventricular septal rupture. Korean J Thorac Cardiovasc Surg 2011; 44: 186-8.
  • 7. Frassani R, Gelsomino S. A right atrial approach in redo postinfarction ventricular septal defect. Cardiovasc Surg 1999; 7; 656–8.
Toplam 7 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Olgu Sunumu
Yazarlar

Ferhat Borulu 0000-0001-9731-9998

Eyüp Çalık 0000-0001-7682-6229

Yasin Kılıç 0000-0003-4657-2496

Bilgehan Erkut 0000-0002-8771-3112

Yayımlanma Tarihi 22 Aralık 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 12 Sayı: 4

Kaynak Göster

APA Borulu, F., Çalık, E., Kılıç, Y., Erkut, B. (2021). Intra-operative diagnosis in an adult patient operated with the pre-diagnosis of ventricular septal rupture after acute infero-post MI: Congenital posterior ventricular septal defect. Turkish Journal of Clinics and Laboratory, 12(4), 458-472. https://doi.org/10.18663/tjcl.962060
AMA Borulu F, Çalık E, Kılıç Y, Erkut B. Intra-operative diagnosis in an adult patient operated with the pre-diagnosis of ventricular septal rupture after acute infero-post MI: Congenital posterior ventricular septal defect. TJCL. Aralık 2021;12(4):458-472. doi:10.18663/tjcl.962060
Chicago Borulu, Ferhat, Eyüp Çalık, Yasin Kılıç, ve Bilgehan Erkut. “Intra-Operative Diagnosis in an Adult Patient Operated With the Pre-Diagnosis of Ventricular Septal Rupture After Acute Infero-Post MI: Congenital Posterior Ventricular Septal Defect”. Turkish Journal of Clinics and Laboratory 12, sy. 4 (Aralık 2021): 458-72. https://doi.org/10.18663/tjcl.962060.
EndNote Borulu F, Çalık E, Kılıç Y, Erkut B (01 Aralık 2021) Intra-operative diagnosis in an adult patient operated with the pre-diagnosis of ventricular septal rupture after acute infero-post MI: Congenital posterior ventricular septal defect. Turkish Journal of Clinics and Laboratory 12 4 458–472.
IEEE F. Borulu, E. Çalık, Y. Kılıç, ve B. Erkut, “Intra-operative diagnosis in an adult patient operated with the pre-diagnosis of ventricular septal rupture after acute infero-post MI: Congenital posterior ventricular septal defect”, TJCL, c. 12, sy. 4, ss. 458–472, 2021, doi: 10.18663/tjcl.962060.
ISNAD Borulu, Ferhat vd. “Intra-Operative Diagnosis in an Adult Patient Operated With the Pre-Diagnosis of Ventricular Septal Rupture After Acute Infero-Post MI: Congenital Posterior Ventricular Septal Defect”. Turkish Journal of Clinics and Laboratory 12/4 (Aralık 2021), 458-472. https://doi.org/10.18663/tjcl.962060.
JAMA Borulu F, Çalık E, Kılıç Y, Erkut B. Intra-operative diagnosis in an adult patient operated with the pre-diagnosis of ventricular septal rupture after acute infero-post MI: Congenital posterior ventricular septal defect. TJCL. 2021;12:458–472.
MLA Borulu, Ferhat vd. “Intra-Operative Diagnosis in an Adult Patient Operated With the Pre-Diagnosis of Ventricular Septal Rupture After Acute Infero-Post MI: Congenital Posterior Ventricular Septal Defect”. Turkish Journal of Clinics and Laboratory, c. 12, sy. 4, 2021, ss. 458-72, doi:10.18663/tjcl.962060.
Vancouver Borulu F, Çalık E, Kılıç Y, Erkut B. Intra-operative diagnosis in an adult patient operated with the pre-diagnosis of ventricular septal rupture after acute infero-post MI: Congenital posterior ventricular septal defect. TJCL. 2021;12(4):458-72.


e-ISSN: 2149-8296

The content of this site is intended for health care professionals. All the published articles are distributed under the terms of

Creative Commons Attribution Licence,

which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.