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    Percutaneous Coronary Intervention in Post-Infarction Ventricular Septal Rupture

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    FK_JURNAL_PERCUTANEOUS CORONARY INTERVENTION IN POST-INFARCTION VENTRICULAR_SURYONO.pdf (1.205Mb)
    Date
    2021-05-01
    Author
    SURYONO, Suryono
    NAESILLA, Naesilla
    KURNIASARI, Ika Aulia
    HIDAYATI, Toyibatul
    TURSINA, Madha Qoyyulledy
    MADHONI, Farid Lutfi
    SARI, Mirah Susanti Kartika
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    Abstract
    Background: Ventricular septal rupture (VSR) is a fatal mechanical complication following acute myocardial infarction (AMI). The definitive treatment remains surgical repair, however several aspects are still debatable, including the timing of surgery. Patient’s refusal of treatment and lack of medical facilities put other challenges in management of VSR. Case presentation: A-48-year-old male with a history of diabetes mellitus and hypertension came with a latepresentation anterior AMI, and refused the reperfusion therapy. By the third day, he developed VSR and cardiogenic shock. The patient was also against any referral plan for further therapy. Hemodynamic status was optimally controlled with vasopressor and inotropic agents. The patient was discharged with a grade II-III New York Heart Association (NYHA) on the tenth day. In follow up evaluation a week later, the patient presented limb swelling and functional NYHA class III-IV. The patient agreed to received percutaneous coronary intervention (PCI). Drug eluting stent (DES) in left anterior descending (LAD) coronary artery was implanted successfully without defect closure. Follow-up after 12-months revealed no signs or symptoms of decompensated heart failure.
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    http://repository.unej.ac.id/handle/123456789/104611
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    • LSP-Jurnal Ilmiah Dosen [7410]

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    Indonesia DSpace Group :

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