Document Detail


Long-term survival with acquired ventricular septal defect after myocardial infarction.
MedLine Citation:
PMID:  15561069     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Acquired ventricular septal defects (VSD) are rare and devastating complications after myocardial infarction. The long-term prognosis with medical therapy is extremely poor. We report on a patient who developed progressive heart failure within 3 months after myocardial infarction due to an unknown VSD. The left ventricular function was severely impaired. After diagnosing VSD by echocardiography, surgical occlusion was performed. In addition, a biventricular pacemaker was applied using epicardial leads. The patient recovered almost completely 6 weeks postoperative. Beside hemodynamic changes, biventricular pacing is potentially sufficient to improve the postoperative outcome of patients with severe heart failure in these conditions.
Authors:
Peter Alter; Bernhard Maisch; Rainer Moosdorf
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  78     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-11-24     Completed Date:  2005-07-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  2178-80     Citation Subset:  AIM; IM    
Affiliation:
Department of Internal Medicine-Cardiology, Philipps University of Marburg/Lahn, Marburg, Germany. alter@mailer.uni-marburg.de
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm / etiology
Echocardiography, Transesophageal
Heart Diseases / etiology
Heart Septal Defects, Ventricular / etiology*,  ultrasonography
Humans
Male
Myocardial Infarction / complications*
Stroke Volume
Survivors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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