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Right ventricle free wall rupture during transcatheter occluder implantation in a patient with postinfarction rupture of the interventricular septum and COVID-19-associated myocarditis. Case report

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1. Title Title of document Right ventricle free wall rupture during transcatheter occluder implantation in a patient with postinfarction rupture of the interventricular septum and COVID-19-associated myocarditis. Case report
2. Creator Author's name, affiliation, country Dmitry V. Pevzner; Chazov National Medical Research Center of Cardiology; Russian Federation
2. Creator Author's name, affiliation, country Tatiana S. Sukhinina; Chazov National Medical Research Center of Cardiology; Russian Federation
2. Creator Author's name, affiliation, country Egor N. Anufriev; Chazov National Medical Research Center of Cardiology; Russian Federation
2. Creator Author's name, affiliation, country Natalia S. Kostritca; Chazov National Medical Research Center of Cardiology; Russian Federation
2. Creator Author's name, affiliation, country Eric A. Avetisyan; Chazov National Medical Research Center of Cardiology; Russian Federation
2. Creator Author's name, affiliation, country Victor N. Shitov; Chazov National Medical Research Center of Cardiology; Russian Federation
2. Creator Author's name, affiliation, country Ella V. Kurilina; Chazov National Medical Research Center of Cardiology; Russian Federation
2. Creator Author's name, affiliation, country Aleksandr G. Osiev; MEDSI Group of Companies; Russian Federation
2. Creator Author's name, affiliation, country Evgeny V. Merkulov; Chazov National Medical Research Center of Cardiology; Russian Federation
2. Creator Author's name, affiliation, country Andrew S. Tereshchenko; Chazov National Medical Research Center of Cardiology; Russian Federation
2. Creator Author's name, affiliation, country Sergey A. Boytsov; Chazov National Medical Research Center of Cardiology; Russian Federation
3. Subject Discipline(s)
3. Subject Keyword(s) myocardial infarction; ventricular septum rupture; COVID-19 associated myocarditis; COVID-19
4. Description Abstract

Intraventricular septum rupture is a rare mechanic complication of myocardial infarction associated with high mortality. This case describes STEMI in recovered patient after COVID 19 associated pneumonia, which was complicated by ventricular septum rupture followed by cardiogenic shock. It was managed by percutaneous occluder implantation. The procedure was complicated by right ventricular wall rupture. Postmortem examination of myocardium showed the signs of inflammation infiltrate and myocyte necrosis, according to histopathological Dallas criteria diagnosis of COVID-19 associated myocarditis was established. The COVID-19 pandemic has contributed to increasing cardiovascular mortality. This is typically attributed to diminishing resources for timely and appropriate medical care, and patients’ late presentations for fear of contracting the infection. Cardiovascular complication of COVID-19 may be another contributing factor. Further research is needed to improve our understanding of the mechanisms and long-term sequelae of myocardium damage in COVID-19, to optimize treatment strategy and subsequent follow-up in such patients.

5. Publisher Organizing agency, location LLC Obyedinennaya Redaktsiya
6. Contributor Sponsor(s)
7. Date (DD-MM-YYYY) 29.09.2023
8. Type Status & genre Peer-reviewed Article
8. Type Type Research Article
9. Format File format
10. Identifier Uniform Resource Identifier https://ter-arkhiv.ru/0040-3660/article/view/595929
10. Identifier Digital Object Identifier (DOI) 10.26442/00403660.2023.07.202330
11. Source Title; vol., no. (year) Terapevticheskii arkhiv; Vol 95, No 7 (2023)
12. Language English=en ru
13. Relation Supp. Files Fig. 1. Coronary angiography: before percutaneous coronary intervention. (122KB)
Fig. 2. Coronary angiography: after percutaneous coronary intervention. (123KB)
Fig. 3. Ventricular septal defect visualized by echocardiography in the four-chamber view. (69KB)
Fig. 4. Ventricular septal occluder implantation. (67KB)
Fig. 5. Pronounced myocardial stromal edema, leukocyte infiltration. (175KB)
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
15. Rights Copyright and permissions Copyright (c) 2023 Consilium Medicum
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