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 |
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