Assessment of interventional therapy for acute myocardial infarction patients complicated with acute ventricular septal rupture
10.3969/j.issn.1004-8812.2016.02.005
- VernacularTitle:急性心肌梗死并发室间隔穿孔患者行介入封堵术的疗效评估
- Author:
Bohan LIU
;
Guangyi WANG
;
Jun GUO
;
Hang ZHU
;
Hunan XIAO
;
Yue LI
;
Guang ZHI
- Publication Type:Journal Article
- Keywords:
Acute myocardial infarction;
Ventricular septal rupture;
Transcatheter interventional occlusion
- From:
Chinese Journal of Interventional Cardiology
2016;24(2):83-87
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical efficacy of interventional occlusion of ventricular septal rupture (VSR) complicating acute myocardial infarction (AMI). Methods Six patients with VSR complicated after AMI underwent transcatheter interventional occlusion in Chinese PLA General Hospital between May 2009 to May 2015 were retrospectively analyzed. Their clinical features, interventional treatment protocols, and occurance of postoperative complications were studied. Results Among the 6 patients, VSR were successfully occluded in 5 patients. One patient failed the operation due to instability of occluder after it was deployed and the occluder was retrieved. The paitents died of heart failure 6 months later. Among the 5 patients with successful closure, 4 patients presented mild residual shunt after occlusion and acute left heart failure occurred in 1 patient after operation. Two patients died during hospital stay after operation. Between them, one patient died 3 hours after operation because of cardiac tamponade and the other patient died of cardiogenic shock after withdrawal from IABP. Three patients were followed up until now and follow up echocardiography showed satisfactory cardiac function without heart failure. Conclusions Transcatheter occlusion was a reliable therapy for patients with ventricular septal rupture complicated in acute myocardial infarction which could improve cardiac function and reduce mortality.
