Casestudies

VENTRICULAR SEPTAL RUPTURE

||VENTRICULAR SEPTAL RUPTURE||

51 years old gentleman presented to ER with complaints of breathlessness. He is a known case of CAD and underwent PTCA to LAD and LMCA 15 days back. He was stabilized in ICU and was found to have cardiac murmur for which Echo was done which revealed ventricular septal rupture (VSR). Emergency VSR closure was done by Dr. Srinath Vijayasekharan, Dr. Senthil Kumar and Team, after explaining the risks and complications. Intraoperative TEE revealed 5mm VSR with left to right shunt and moderate LV dysfunction (LVEF – 35%). Bovine pericardial patch closure of VSR and CABG was done under cardiopulmonary bypass and intra-aortic balloon pump. IABP support was gradually weaned and removed on POD 3 and was shifted to ward on POD 5. He remained hemodynamically stable and got discharged after 2 weeks of surgery without any complications.  

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