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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Surgical Treatment of Ventricular Septal Defect Following Myocardial Infarction: A Case Report

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Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences
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Department of Cardiac, Thoracic, and Vascular Surgery, Medical Academy, Lithuanian University of Health Sciences, Lithuania
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Author to whom correspondence should be addressed.
Medicina 2013, 49(4), 32; https://doi.org/10.3390/medicina49040032
Received: 5 April 2013 / Accepted: 30 April 2013 / Published: 5 May 2013
Ventricular septal defect after myocardial infarction is a rare but often life-threatening mechanical complication. The keys of management are a prompt diagnosis of ventricular septal defect and an aggressive approach to stabilize patient’s hemodynamics. Invasive monitoring, judicious use of inotropes and vasodilators, and an intra-aortic balloon pump are recommended for the optimal support of patient’s hemodynamics. The best results are achieved if optimally medically managed patients survive at least 4 weeks before elective surgery necessary for scar formation in a friable infarcted tissue. We report a case of acute myocardial infarction complicated by the rupture of ventricular septum. Instead of attempting an immediate surgical closure of ventricular septal defect, the postponed surgery was successfully performed 3 weeks after the occurrence of ventricular septal defect. Preoperatively, clinical and hemodynamic conditions of the patient were maintained stable with the support of an intra-aortic balloon pump and inotropes.
Keywords: myocardial infarction; ventricular septal defect; surgical treatment myocardial infarction; ventricular septal defect; surgical treatment
MDPI and ACS Style

Ereminienė, E.; Jurgaitienė, R.; Benetis, R.; Bakšytė, G.; Stanaitienė, G. Surgical Treatment of Ventricular Septal Defect Following Myocardial Infarction: A Case Report. Medicina 2013, 49, 32.

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