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

Baskurt M., Turhan N., Hatemi A., CANİKOĞLU M., KARADAĞ B., KÜÇÜKOĞLU M. S.

CARDIOVASCULAR JOURNAL OF AFRICA, vol.21, no.6, pp.329-332, 2010 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 21 Issue: 6
  • Publication Date: 2010
  • Doi Number: 10.5830/cvja-2010-011
  • Journal Name: CARDIOVASCULAR JOURNAL OF AFRICA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.329-332
  • Kocaeli University Affiliated: No

Abstract

Post-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-aneurysmal approach.