Acute ventricular septal rupture. Angiographic-morphologic features and clinical assessment

O. Topaz, S. M. Mallon, R. A. Chahine, Rafael F. Sequeira, R. J. Myerburg

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Twenty patients with acute ventricular septal rupture underwent cardiac catheterization. Prior to catheterization, 17 patients were in Killip class 3-4. Mean cardiac index and cardiac output were 2.03 ± 0.81 L/min/m2 and 3.55 ± 1.33 L/min, respectively. Based on a recent pathologic description of septal rupture, we encountered by angiography and during surgery, two morphologic types of rupture: simple type which appears as a direct through-and-through communication between the ventricles, and complex type which presents hemorrhagic tracts in the septum with the opening into the ventricles at different levels. Considering the management of patients with septal rupture and the clinical outcome in our series, it is suggested that there is a need to minimize invasive angiographic procedures prior to early surgical correction of the ruptured septum.

Original languageEnglish (US)
Pages (from-to)292-298
Number of pages7
JournalCHEST
Volume95
Issue number2
DOIs
StatePublished - Jan 1 1989

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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