Right atrial approach for repairing a posterior ventricular septal rupture: a case report

BACKGROUND: Ventricular septal rupture (VSR) is a life-threatening complication following acute transmural myocardial infarction. Posteriorly located ruptures are one of the main predictors of poor prognoses because of the surgical difficulties associated with this location. CASE PRESENTATION: A 72-...

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Autores principales: Kitabayashi, Katsukiyo, Miyake, Keisuke, Sakagoshi, Nobuo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5005227/
https://www.ncbi.nlm.nih.gov/pubmed/27576460
http://dx.doi.org/10.1186/s40792-016-0215-9
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author Kitabayashi, Katsukiyo
Miyake, Keisuke
Sakagoshi, Nobuo
author_facet Kitabayashi, Katsukiyo
Miyake, Keisuke
Sakagoshi, Nobuo
author_sort Kitabayashi, Katsukiyo
collection PubMed
description BACKGROUND: Ventricular septal rupture (VSR) is a life-threatening complication following acute transmural myocardial infarction. Posteriorly located ruptures are one of the main predictors of poor prognoses because of the surgical difficulties associated with this location. CASE PRESENTATION: A 72-year-old man with a posterior VSR underwent surgical repair via the right atrial approach. The patient’s postoperative course was uneventful, and echocardiography showed no residual shunt flow. He was discharged on postoperative day 37. CONCLUSION: By temporally detaching the tricuspid valve leaflet, this approach provides a better view and handling space within the posterior ventricular septum than the trans-ventricular approach. Additionally, avoiding a ventricular incision can better preserve postoperative ventricular function.
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spelling pubmed-50052272016-09-22 Right atrial approach for repairing a posterior ventricular septal rupture: a case report Kitabayashi, Katsukiyo Miyake, Keisuke Sakagoshi, Nobuo Surg Case Rep Case Report BACKGROUND: Ventricular septal rupture (VSR) is a life-threatening complication following acute transmural myocardial infarction. Posteriorly located ruptures are one of the main predictors of poor prognoses because of the surgical difficulties associated with this location. CASE PRESENTATION: A 72-year-old man with a posterior VSR underwent surgical repair via the right atrial approach. The patient’s postoperative course was uneventful, and echocardiography showed no residual shunt flow. He was discharged on postoperative day 37. CONCLUSION: By temporally detaching the tricuspid valve leaflet, this approach provides a better view and handling space within the posterior ventricular septum than the trans-ventricular approach. Additionally, avoiding a ventricular incision can better preserve postoperative ventricular function. Springer Berlin Heidelberg 2016-08-30 /pmc/articles/PMC5005227/ /pubmed/27576460 http://dx.doi.org/10.1186/s40792-016-0215-9 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Kitabayashi, Katsukiyo
Miyake, Keisuke
Sakagoshi, Nobuo
Right atrial approach for repairing a posterior ventricular septal rupture: a case report
title Right atrial approach for repairing a posterior ventricular septal rupture: a case report
title_full Right atrial approach for repairing a posterior ventricular septal rupture: a case report
title_fullStr Right atrial approach for repairing a posterior ventricular septal rupture: a case report
title_full_unstemmed Right atrial approach for repairing a posterior ventricular septal rupture: a case report
title_short Right atrial approach for repairing a posterior ventricular septal rupture: a case report
title_sort right atrial approach for repairing a posterior ventricular septal rupture: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5005227/
https://www.ncbi.nlm.nih.gov/pubmed/27576460
http://dx.doi.org/10.1186/s40792-016-0215-9
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AT miyakekeisuke rightatrialapproachforrepairingaposteriorventricularseptalruptureacasereport
AT sakagoshinobuo rightatrialapproachforrepairingaposteriorventricularseptalruptureacasereport

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