John P. Lichtenberger, III, MD; Stephan Achenbach, MD, FESC, FACC, FSCCT
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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
TERMINOLOGY
Abbreviations
Ventricular septal rupture (VSR)
Synonyms
Postinfarct ventricular septal defect (VSD)
Definitions
Abnormal communication between right and left ventricles
Generally following acute myocardial infarction
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Echocardiographic Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
Selected References
Durko AP et al: Recognition, assessment and management of the mechanical complications of acute myocardial infarction. Heart. 104(14):1216-23, 2018
Camm CF et al: Ventricular rupture following myocardial infarction. J Invasive Cardiol. 29(5):E60, 2017
Hamilton MCK et al: The in vivo morphology of post-infarct ventricular septal defect and the implications for closure. JACC Cardiovasc Interv. 10(12):1233-43, 2017
Calvert PA et al: Percutaneous closure of postinfarction ventricular septal defect: in-hospital outcomes and long-term follow-up of UK experience. Circulation. 129(23):2395-402, 2014
Isoda S et al: Surgical repair of postinfarction ventricular septal defects-2013 update. Ann Thorac Cardiovasc Surg. 19(2):95-102, 2013
Tada N et al: Percutaneous closure of post-infarction ventricular septal defect using an Amplatzer septal occluder. Cardiovasc Interv Ther. 28(2):216-21, 2013
Vargas-Barrón J et al: Risk factors, echocardiographic patterns, and outcomes in patients with acute ventricular septal rupture during myocardial infarction. Am J Cardiol. 95(10):1153-8, 2005
Birnbaum Y et al: Ventricular septal rupture after acute myocardial infarction. N Engl J Med. 347(18):1426-32, 2002
Crenshaw BS et al: 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. 101(1):27-32, 2000
Menon V et al: Outcome and profile of ventricular septal rupture with cardiogenic shock after myocardial infarction: a report from the SHOCK Trial Registry. Should we emergently revascularize occluded coronaries in cardiogenic shocK? J Am Coll Cardiol. 36(3 Suppl A):1110-6, 2000
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Clinical Issues
TERMINOLOGY
Abbreviations
Ventricular septal rupture (VSR)
Synonyms
Postinfarct ventricular septal defect (VSD)
Definitions
Abnormal communication between right and left ventricles
Generally following acute myocardial infarction
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Echocardiographic Findings
Angiographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
Selected References
Durko AP et al: Recognition, assessment and management of the mechanical complications of acute myocardial infarction. Heart. 104(14):1216-23, 2018
Camm CF et al: Ventricular rupture following myocardial infarction. J Invasive Cardiol. 29(5):E60, 2017
Hamilton MCK et al: The in vivo morphology of post-infarct ventricular septal defect and the implications for closure. JACC Cardiovasc Interv. 10(12):1233-43, 2017
Calvert PA et al: Percutaneous closure of postinfarction ventricular septal defect: in-hospital outcomes and long-term follow-up of UK experience. Circulation. 129(23):2395-402, 2014
Isoda S et al: Surgical repair of postinfarction ventricular septal defects-2013 update. Ann Thorac Cardiovasc Surg. 19(2):95-102, 2013
Tada N et al: Percutaneous closure of post-infarction ventricular septal defect using an Amplatzer septal occluder. Cardiovasc Interv Ther. 28(2):216-21, 2013
Vargas-Barrón J et al: Risk factors, echocardiographic patterns, and outcomes in patients with acute ventricular septal rupture during myocardial infarction. Am J Cardiol. 95(10):1153-8, 2005
Birnbaum Y et al: Ventricular septal rupture after acute myocardial infarction. N Engl J Med. 347(18):1426-32, 2002
Crenshaw BS et al: 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. 101(1):27-32, 2000
Menon V et al: Outcome and profile of ventricular septal rupture with cardiogenic shock after myocardial infarction: a report from the SHOCK Trial Registry. Should we emergently revascularize occluded coronaries in cardiogenic shocK? J Am Coll Cardiol. 36(3 Suppl A):1110-6, 2000
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