Successful percutaneous closure of post myocardial infarction left ventricular ruptured pseudoaneurysm after failed surgical repair

Al-Shehri, Haliah; Momenah, Tariq S.; Albaradai, Abdulaziz; Sallam, Ayman; Alassal, Mohammad A.; Lawand, Samih

doi:10.1016/j.jccase.2013.12.009

Cited by 7 publications

(8 citation statements)

References 13 publications

(13 reference statements)

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“…The frequency of each of these conditions is so low that it is difficult to perform studies to prove the efficacy of a repair surgery. Percutaneous closure of a ruptured left ventricle with an Amplatzer muscular ventricular septal defect occluder may be an alternative, particularly in patients at a high operative risk [ 22 ]. Further research is warranted to reduce the risk of death in patients with cardiac rupture.…”

Section: Discussionmentioning

confidence: 99%

Association between acute myocardial infarction-to-cardiac rupture time and in-hospital mortality risk: a retrospective analysis of multicenter registry data from the Cardiovascular Research Consortium-8 Universities (CIRC-8U)

et al. 2021

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Despite the known association of cardiac rupture with acute myocardial infarction (AMI), it is still unclear whether the clinical characteristics are associated with the risk of in-hospital mortality in patients with AMI complicated by cardiac rupture. The purpose of this study was to investigate the association between the time of cardiac rupture occurrence and the risk of in-hospital mortality after AMI. We conducted a retrospective analysis of multicenter registry data from eight medical universities in Eastern Japan. From 10,278 consecutive patients with AMI, we included 183 patients who had cardiac rupture after AMI, and examined the incidence of in-hospital deaths during a median follow-up of 26 days. Patients were stratified into three groups according to the AMI-to-cardiac rupture time, namely the > 24-h group (n = 111), 24–48-h group (n = 20), and < 48-h group (n = 52). Cox proportional hazards regression analysis was used to estimate the hazard ratio (HR) and the confidence interval (CI) for in-hospital mortality. Around 87 (48%) patients experienced in-hospital death and 126 (67%) underwent a cardiac surgery. Multivariable Cox regression analysis revealed a non-linear association across the three groups for mortality (HR [CI]; < 24 h: 1.0, reference; 24–48 h: 0.73 [0.27–1.86]; > 48 h: 2.25 [1.22–4.15]) after adjustments for age, sex, Killip classification, percutaneous coronary intervention, blood pressure, creatinine, peak creatine kinase myocardial band fraction, left ventricular ejection fraction, and type of rupture. Cardiac surgery was independently associated with a reduction in the HR of mortality (HR [CI]: 0.27 [0.12–0.61]) and attenuated the association between the three AMI-to-cardiac rupture time categories and mortality (statistically non-significant) in the Cox model. These data suggest that the AMI-to-cardiac rupture time contributes significantly to the risk of in-hospital mortality; however, rapid diagnosis and prompt surgical interventions are crucial for improving outcomes in patients with cardiac rupture after AMI.

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Section: Discussionmentioning

confidence: 99%

Association between acute myocardial infarction-to-cardiac rupture time and in-hospital mortality risk: a retrospective analysis of multicenter registry data from the Cardiovascular Research Consortium-8 Universities (CIRC-8U)

et al. 2021

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“…Although the patient treated in the latter report died a few days later due to pump failure, a similar case was treated successfully [17]. Percutaneous closure of ruptured left ventricular pseudoaneurysm with an Amplatzer muscular ventricular septal defect occluder was reported in a 45-year-old woman [18]. In highly selected cases patients have survived with conservative treatment [19].…”

Section: Discussionmentioning

confidence: 99%

Cardiac Rupture: New Features of the Old Disease

Leitman

Tsatskin²,

Hendler³

et al. 2016

Cardiology

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Objectives: Myocardial rupture is a rare but a fatal complication of acute myocardial infarction. During recent years, treatment strategies of acute myocardial infarction have changed. Primary percutaneous coronary interventions have replaced fibrinolytic therapy, thus reducing one of the major risk factors for myocardial rupture. In this work, we describe a group of patients who suffered myocardial rupture, none of whom were treated with thrombolytic therapy. Methods: The digital database of our hospital was searched for all patients who experienced myocardial rupture between 2008 and 2015. The demographic, clinical, angiographic and echocardiographic data of these patients were analyzed. Results: Out of 2,380 patients admitted with acute myocardial infarction, 12 (0.5%) developed myocardial rupture. The mean age was 78 years, and there were 7 males and 5 females. Ten patients already had pericardial effusion on admission. Seven patients underwent coronary angiography, whilst primary percutaneous intervention was performed in 4 patients. Six patients entered the operating room and all survived the procedure. All patients who were treated conservatively died due to rupture. Factors related to the treatment strategy were advanced age (≥90 years) and cognitive impairment. Conclusions: The risk of myocardial rupture may be diminished by primary coronary intervention during myocardial infarction, but mortality remains high. An early, comprehensive echocardiographic examination and rapid surgery may contribute to improved survival.

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“…The percutaneous closure of LVPA was performed on an urgent basis in 3 (3.2%) patients [13,20,23]. The percutaneous procedures succeeded on the first try in 79 (84.9%) patients, whereas failures were encountered during the percutaneous manoeuvres in 14 (15.1%) patients [10,11,14,24,30,44,51,54,[63][64][65][66][67]70].…”

Section: Resultsmentioning

confidence: 99%

“…The 66 recruited articles included 1 (1.5%) retrospective study [ 22 ], 4 (6.1%) case series [ 36 , 48 , 52 , 65 ], 43 (65.2%) case reports [ 5 , 7 , 9 – 11 , 13 , 14 , 17 – 21 , 24 , 25 , 27 – 32 , 34 , 35 , 38 – 40 , 42 , 43 , 45 – 47 , 49 – 51 , 54 , 55 , 58 , 60 , 62 , 63 , 66 – 68 , 71 ], 14 (21.2%) medical images [ 12 , 15 , 16 , 23 , 26 , 33 , 41 , 44 , 53 , 56 , 59 , 61 , 69 , 70 ], and 4 (6.1%) proceeding abstracts/posters [ 8 , 37 , 57 , 64 ]. There were a total of 93 patients, including 58 (63.0%) male and 34 (37.0%) female (χ 2 = 12.5, p = 0.001), with a male-to-female ratio of 1.7 : 1 (gender of 1 patient was unknown).…”

Section: Resultsmentioning

confidence: 99%

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Percutaneous closure of left ventricular pseudoaneurysm

Yuan¹

2022

pwki

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The aim of the present study is to describe the indications, treatment effects, and patient outcomes of percutaneous management of left ventricular pseudoaneurysm (LVPA). The study materials were based on comprehensive literature retrieval since 2004. The mechanisms of LVPA formation can be divided into surgical, percutaneous, and medial disease related. Of the surgical mechanisms, coronary artery bypass grafting prevailed. The formation time was the longest in medical disease-related LVPAs up to 44.4 months. The percutaneous procedures succeeded on the first try in 79 (84.9%) patients, whereas failures were encountered during the percutaneous manoeuvres in 14 (15.1%) patients. Percutaneous closure of LVPA was especially indicated for patients carrying a high surgical risk. The iatrogenic traumas, such as left ventricular venting, should be avoided to prevent this complication. The preliminary cut-off valves of oversize 3.3 mm and oversize ratio 1.6 should be followed for reference for device choice.

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Successful percutaneous closure of post myocardial infarction left ventricular ruptured pseudoaneurysm after failed surgical repair

Cited by 7 publications

References 13 publications

Association between acute myocardial infarction-to-cardiac rupture time and in-hospital mortality risk: a retrospective analysis of multicenter registry data from the Cardiovascular Research Consortium-8 Universities (CIRC-8U)

Association between acute myocardial infarction-to-cardiac rupture time and in-hospital mortality risk: a retrospective analysis of multicenter registry data from the Cardiovascular Research Consortium-8 Universities (CIRC-8U)

Cardiac Rupture: New Features of the Old Disease

Percutaneous closure of left ventricular pseudoaneurysm

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