1/33. Percutaneous closure of a left ventricular perforation post balloon mitral valvotomy.The risk of left ventricular perforation is a rare but well-recognized complication of percutaneous double balloon mitral valvuloplasty that usually requires surgical bailout. We describe a case of left ventricular perforation with cardiac tamponade, caused by the propulsion of the balloons during balloon mitral valvotomy on an 86-year-old female with previous thoracotomies that was resolved using percutaneous coil embolization of the perforation. This approach to these types of complications, although unlikely to be of extensive use, will serve to expand the horizon of options in the field of interventions. Cathet. Cardiovasc. Intervent. 48:78-83, 1999.- - - - - - - - - - ranking = 1keywords = closure (Clic here for more details about this article) |
2/33. Indwelling catheter-induced right ventricular rupture.We describe a case of a 68-year-old man who, because of postoperative mediastinitis, underwent a multiple muscle flap closure of the mediastinum. A chronic indwelling catheter led to erosion and rupture of the anterior wall of the right ventricle. The near exsanguinating hemorrhage was corrected under circulatory arrest. A pericardial patch repair was performed with good results.- - - - - - - - - - ranking = 0.25keywords = closure (Clic here for more details about this article) |
3/33. Transcatheter closure of traumatic ventricular septal defect: an alternative to surgical repair?A 19-year-old man with multiple-system injuries including a serious head injury and two poorly tolerated traumatic ventricular septal defects, was admitted to our hospital. Transcatheter closure of the cardiac defects was attempted instead of surgical repair because the required anticoagulation for cardiopulmonary bypass could precipitate intracranial bleeding. The two ventricular septal defects were successfully closed with Amplatzer devices, but the patient remained in hemodynamically unstable condition and subsequently died. Transcatheter closure of traumatic ventricular septal defect is an alternative to surgical repair, although it remains a hazardous procedure and requires experienced anesthesia management.- - - - - - - - - - ranking = 1.5keywords = closure (Clic here for more details about this article) |
4/33. Cardiac perforation following transcatheter PFO closure.From December 1998 to August 2001, transcatheter closure of patent foramen ovale (PFO) with an Amplatzer PFO occluder has been successfully performed in our center in 102 patients without severe complications. We are reporting the first known case of cardiac perforation by an Amplatzer PFO occluder.- - - - - - - - - - ranking = 1.25keywords = closure (Clic here for more details about this article) |
5/33. Unusual complication of sternotomy: bone fragment induced right ventricular rupture after mitral valve replacement surgery.Major surgical complications following open cardiac procedures via median sternotomy are infrequent but potentially devastating events. We report on a unique, fatal complication of median sternotomy. A 44-year-old woman underwent mitral valve replacement for endocarditis related to intravenous drug abuse. Twenty days after the surgery, she presented to the emergency department in acute distress, and died of cardiac tamponade soon after admission. Postmortem examination revealed a defect in the right ventricular wall caused by a bone fragment resulting from the median sternotomy.- - - - - - - - - - ranking = 0.0020069311480211keywords = drug (Clic here for more details about this article) |
6/33. Transcatheter closure of traumatic ventricular septal defect: an alternative to surgery.The incidence of ventricular septal defect (VSD) occurs in up to 4.5% of penetrating cardiac trauma. We report a patient with persistent VSD who underwent surgical repair with significant left-to-right shunt and signs of heart failure. We performed a successful transcatheter closure of the VSD with an Amplatzer septal occluder (AGA Medical Corporation; Golden Valley, MN).- - - - - - - - - - ranking = 1.25keywords = closure (Clic here for more details about this article) |
7/33. Transcatheter treatment of a large traumatic ventricular septal defect.We report the first successful transcatheter closure of a large traumatic ventricular septal defect in a 16-year-old adolescent. The risks of standard open heart repair using cardiopulmonary bypass were felt to be prohibitive due to coexistent injuries. This case demonstrates the feasibility of transcatheter therapy for traumatic ventricular septal defects.- - - - - - - - - - ranking = 0.25keywords = closure (Clic here for more details about this article) |
8/33. Use of deep hypothermic circulatory arrest following ventricular laceration: a case report.Deep hypothermic circulatory arrest (DHCA) is usually a planned approach to certain types of cardiovascular surgery. This case report is an example of DHCA used to provide cerebral protection for a patient whose right ventricle was lacerated by an oscillating saw during sternotomy. The surgical case was a redo coronary artery bypass graft surgery. Anesthetic intervention with specific drug administration and steps taken for neuroprotection are discussed. Before DHCA, anesthetic interventions are used to reduce brain metabolism and, thus, oxygen consumption for the 30- to 60-minute window of complete circulatory arrest. Although not having an electroencephalographic monitor for the case, an interesting finding was that the bispectral monitor (or BIS monitor) was at the zero level for the entire circulatory arrest and about 30 minutes after rewarming.- - - - - - - - - - ranking = 0.0020069311480211keywords = drug (Clic here for more details about this article) |
9/33. Spontaneous closure of a traumatic ventricular septal defect after blunt trauma documented by serial echocardiography.A ventricular septal defect (caused by blunt chest trauma) that closed spontaneously over a period of 5 years was documented by serial echo-Doppler examinations. The shunt was relatively small and the patient was without symptoms from the time the lesion was discovered until its closure. In the absence of cardiac decompensation or pulmonary hypertension, a conservative approach, including serial echo-Doppler examinations, can be justified.- - - - - - - - - - ranking = 1.25keywords = closure (Clic here for more details about this article) |
10/33. Cardiac rupture during vacuum-assisted closure therapy.vacuum-assisted closure therapy is a recently introduced technique for treatment of deep sternal wound infections after cardiac surgery. We present five cases of vacuum-assisted closure therapy-related major bleeding complications due to rupture of the right ventricle. This potentially lethal complication may be avoided by covering the heart with protective layers of paraffin gauze dressings.- - - - - - - - - - ranking = 1.5keywords = closure (Clic here for more details about this article) |
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