Trajtimi kirurgjikal i çarjes së septumit interventrikular si komplikacion i post infarktit akut miokardit
DOI:
https://doi.org/10.55312/op.vi2.4627Abstract
Çarja e septumit interventrikular pas infarktit akut miokardit (IAM) sapo vjen e po bëhet më e rrallë me evoluimin e angioplastikës perkutane, por përsëri vdekshmëria mbetet e lartë. Trajtimi kirurgjikal, edhe pse me vështirësitë dhe vdekshmërinë e lartë, mbetet trajtimi i zgjedhur. Alternativa e shtyrjes së kohës së ndërhyrjes kirurgjikale në pacientë me gjendje të qëndrueshme siguron rezultate më të mira, por dhe trajtimi medikamentoz i tejzgjatur nëpërmjet uljes së pasngarkesës dhe vendosjes së balonit intra-aortik është i padobishëm (1).Keywords:
çarje e septumit interventrikular, infarkt akut i miokardit (IAM), angioplastikë perkutane.Downloads
References
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Brandon M. Jones, Samir R. Kapadia, Nicholas G. Smedira, Michael Robich, E. Murat Tuzcu, Venu Menon, Amar Krishnaswamy. Ventricular septal
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rupture complicating acute myocardial infarction: a contemporary review. European Heart Journal, Volume 35, Issue 31, 14 August 2014, 26 June 2014, Pages 2060–2068, https://doi.org/10.1093/eurheartj/ehu248.
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Birnbaum Y, Fishbein MC, Blanche C, Siegel RJ. Ventricular septal rupture after acute myocardial infarction. N Engl J Med, 2002, vol. 347, p. 1426-1432.
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Moreyra AE, Huang MS, Wilson AC, Deng Y, Cosgrove NM, Kostis JB. Trends in incidence and mortality rates of ventricular septal rupture during acute myocardial infarction. Am J Cardiol 2010;106:1095 – 1100.
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Crenshaw BS, Granger CB,Birnbaum Y, Pieper KS, Morris DC, Kleiman NS, Vahanian A, Califf RM, Topol EJ. Risk factors, angiographic patterns,
-
and outcomes in patients with ventricular septal defect complicating acute myocardial infarction. GUSTO-I (Global Utilization of Streptokinase and TPA for Occluded Coronary Arteries) Trial Investigators. Circulation 2000;101:27 – 32.
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Lopez-Sendon J, Gurfinkel EP, Lopez de Sa E, Agnelli G, Gore JM, Steg PG, Eagle KA, Cantador JR, Fitzgerald G, Granger CB. Factors related
-
to heart rupture in acute coronary syndromes in the Global Registry of Acute Coronary Events. Eur Heart J 2010; 31:1449 – 1456.
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French JK, Hellkamp AS, Armstrong PW, Cohen E, Kleiman NS, O’Connor CM, Holmes DR, Hochman JS, Granger CB, Mahaffey KW.
-
Mechanical complications after percutaneous coronary intervention in ST-elevation myocardial infarction (from APEX-AMI). Am J Cardiol 2010;105:59 – 63.
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Arnaoutakis GJ, Zhao Y, George TJ, Sciortino CM, McCarthy PM, Conte JV. Surgical repair of ventricular septal defect after myocardial infarction: outcomes from the Society of Thoracic Surgeons National Database. Ann Thoracic Surg 2012;94: 436 – 443; discussion 443 –444.
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Papalexopoulou N, Young CP, Attia RQ. What is the best timing of surgery in patients with post-infarct ventricular septal rupture? Interactive Cardiovasc Thoracic Surg 2013;16:193 – 196.
References
Brandon M. Jones, Samir R. Kapadia, Nicholas G. Smedira, Michael Robich, E. Murat Tuzcu, Venu Menon, Amar Krishnaswamy. Ventricular septal
rupture complicating acute myocardial infarction: a contemporary review. European Heart Journal, Volume 35, Issue 31, 14 August 2014, 26 June 2014, Pages 2060–2068, https://doi.org/10.1093/eurheartj/ehu248.
Birnbaum Y, Fishbein MC, Blanche C, Siegel RJ. Ventricular septal rupture after acute myocardial infarction. N Engl J Med, 2002, vol. 347, p. 1426-1432.
Moreyra AE, Huang MS, Wilson AC, Deng Y, Cosgrove NM, Kostis JB. Trends in incidence and mortality rates of ventricular septal rupture during acute myocardial infarction. Am J Cardiol 2010;106:1095 – 1100.
Crenshaw BS, Granger CB,Birnbaum Y, Pieper KS, Morris DC, Kleiman NS, Vahanian A, Califf RM, Topol EJ. Risk factors, angiographic patterns,
and outcomes in patients with ventricular septal defect complicating acute myocardial infarction. GUSTO-I (Global Utilization of Streptokinase and TPA for Occluded Coronary Arteries) Trial Investigators. Circulation 2000;101:27 – 32.
Lopez-Sendon J, Gurfinkel EP, Lopez de Sa E, Agnelli G, Gore JM, Steg PG, Eagle KA, Cantador JR, Fitzgerald G, Granger CB. Factors related
to heart rupture in acute coronary syndromes in the Global Registry of Acute Coronary Events. Eur Heart J 2010; 31:1449 – 1456.
French JK, Hellkamp AS, Armstrong PW, Cohen E, Kleiman NS, O’Connor CM, Holmes DR, Hochman JS, Granger CB, Mahaffey KW.
Mechanical complications after percutaneous coronary intervention in ST-elevation myocardial infarction (from APEX-AMI). Am J Cardiol 2010;105:59 – 63.
Arnaoutakis GJ, Zhao Y, George TJ, Sciortino CM, McCarthy PM, Conte JV. Surgical repair of ventricular septal defect after myocardial infarction: outcomes from the Society of Thoracic Surgeons National Database. Ann Thoracic Surg 2012;94: 436 – 443; discussion 443 –444.
Papalexopoulou N, Young CP, Attia RQ. What is the best timing of surgery in patients with post-infarct ventricular septal rupture? Interactive Cardiovasc Thoracic Surg 2013;16:193 – 196.



