CASE REPORT |
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Year : 2014 | Volume
: 8
| Issue : 4 | Page : 546-549 |
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Peri-operative challenges in post myocardial infarction ventricular septal rupture: A case series and review of literature
Sanjay Kumar1, Arindam Choudhury1, Devagourou Velayudam2, Usha Kiran1
1 Department of Cardiac Anesthesia, Cardiac and Neuro Science Center, All India Institute of Medical Sciences, New Delhi, India 2 Department of Cardio-Thoracic Vascular Surgery, Cardiac and Neuro Science Center, All India Institute of Medical Sciences, New Delhi, India
Correspondence Address:
Dr. Arindam Choudhury Assistant Professor Department of Cardiac Anesthesia, Room No. 6, 8th Floor, Cardiac and Neuro Science Center, All India Institute of Medical Sciences, New Delhi - 110 029 India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1658-354X.140895
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Ventricular septal rupture (VSR) is a life threatening complication of myocardial infarction (MI). The incidence of post-MIVSR varied from 1% to 3% in the pre-thrombolytic era. There is almost a 10-fold decrease in the reported incidences (0.2-0.3%) of MIVSR today. The mortality in such an event is as high as 50-90%. Prognosis of post-MIVSR depends on prompt echo diagnosis and proactive surgical therapy. The peri-operative challenges during management of such a case can be enormous. |
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