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
- 作者: Pevzner D.1, Sukhinina T.1, Anufriev E.1, Kostritca N.1, Avetisyan E.1, Shitov V.1, Kurilina E.1, Osiev A.2, Merkulov E.1, Tereshchenko A.1, Boytsov S.1
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隶属关系:
- Chazov National Medical Research Center of Cardiology
- MEDSI Group of Companies
- 期: 卷 95, 编号 7 (2023)
- 页面: 574-579
- 栏目: Clinical notes
- URL: https://journals.rcsi.science/0040-3660/article/view/148299
- DOI: https://doi.org/10.26442/00403660.2023.07.202330
- ID: 148299
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详细
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.
作者简介
Dmitry Pevzner
Chazov National Medical Research Center of Cardiology
编辑信件的主要联系方式.
Email: pevsner@mail.ru
ORCID iD: 0000-0002-5290-0065
канд. мед. наук, ст. науч. сотр., зав. блоком интенсивной терапии отд. неотложной кардиологии
俄罗斯联邦, MoscowTatiana Sukhinina
Chazov National Medical Research Center of Cardiology
Email: pevsner@mail.ru
ORCID iD: 0000-0002-5509-6623
канд. мед. наук, ст. науч. сотр. отд. неотложной кардиологии
俄罗斯联邦, MoscowEgor Anufriev
Chazov National Medical Research Center of Cardiology
Email: pevsner@mail.ru
ORCID iD: 0000-0002-9660-9851
врач-кардиолог отд. неотложной кардиологии
俄罗斯联邦, MoscowNatalia Kostritca
Chazov National Medical Research Center of Cardiology
Email: pevsner@mail.ru
ORCID iD: 0000-0002-8746-8727
врач-ординатор отд. неотложной кардиологии
俄罗斯联邦, MoscowEric Avetisyan
Chazov National Medical Research Center of Cardiology
Email: pevsner@mail.ru
ORCID iD: 0000-0002-0331-2179
врач-кардиолог отд. неотложной кардиологии
俄罗斯联邦, MoscowVictor Shitov
Chazov National Medical Research Center of Cardiology
Email: pevsner@mail.ru
ORCID iD: 0000-0002-8878-7340
врач-кардиолог блока интенсивной терапии отд. неотложной кардиологии, врач ультразвуковой диагностики
俄罗斯联邦, MoscowElla Kurilina
Chazov National Medical Research Center of Cardiology
Email: pevsner@mail.ru
ORCID iD: 0000-0002-3208-534X
зав. отд-нием патанатомии
俄罗斯联邦, MoscowAleksandr Osiev
MEDSI Group of Companies
Email: pevsner@mail.ru
ORCID iD: 0000-0001-5263-0387
д-р мед. наук, проф., зав. отд-нием рентгенхирургии
俄罗斯联邦, MoscowEvgeny Merkulov
Chazov National Medical Research Center of Cardiology
Email: pevsner@mail.ru
ORCID iD: 0000-0001-8193-8575
д-р мед. наук, ст. науч. сотр., зав. 1-м отд-нием рентгенхирургических методов диагностики и лечения
俄罗斯联邦, MoscowAndrew Tereshchenko
Chazov National Medical Research Center of Cardiology
Email: pevsner@mail.ru
ORCID iD: 0000-0002-4198-0522
канд. мед. наук, ст. науч. сотр. отд. рентгенэндоваскулярных методов диагностики и лечения
俄罗斯联邦, MoscowSergey Boytsov
Chazov National Medical Research Center of Cardiology
Email: pevsner@mail.ru
ORCID iD: 0000-0001-6998-8406
акад. РАН, д-р мед. наук, проф., ген. дир
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