• Cardiovasc J Afr · Nov 2010

    Case Reports

    Post-infarction ventricular septal defect: triggered by Valsalva manoeuvre?

    • M Baskurt, N Turhan, A Hatemi, M Canikoglu, B Karadag, and S Kucukoglu.
    • Department of Cardiology, Institute of Cardiology, Istanbul University, Haseki, Istanbul. drmuratbaskurt@yahoo.com
    • Cardiovasc J Afr. 2010 Nov 1; 21 (6): 329-32.

    AbstractPost-infarction ventricular septal defect (VSD) is a fatal mechanical complication of myocardial infarction. Although the incidence has decreased to less than 1% after the extensive use of reperfusion strategies, post-infarction VSD still carries a high mortality risk. Management is controversial, whether to wait for surgery after a stabilisation period or to perform emergency surgery when diagnosed. We report on a case of post-infarction VSD that was detected with severe haemodynamic instability, beginning immediately after the patient's Valsalva manoeuvre on the sixth day of a non-reperfused inferior myocardial infarction. In the early period, the post-infarction VSD was repaired via a trans-aneurismal approach.

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