Meenakshi Mission Hospital saves a 76 years old man from deadly heart rupture

Madurai, March 29, 2023: Meenakshi Mission Hospital and Research Centre (MMHRC), a leading multispecialty hospital in south Tamil Nadu, has successfully treated a 76 years old man from Pudukottai, who was diagnosed with Ventricular Septal Rupture (VSR).

Talking about the condition, Dr.Sivakumar R, Senior Consultant – Department of Cardiology, MMHRC said, the patient came to the hospital with complaints of breathing difficulty, cough with expectoration on and off, echo showed IHD/ moderate LV dysfunction/VSR. CAG was done showed coronary artery disease, single vessel disease, and patent stent in LAD. 

VSR is a rare complication in which the wall dividing the left and right ventricles of the heart develops a hole. If not treated, the blood in the two chambers starts mixing, flows to the lungs, and fills them, resulting in death. About 90% of patients with this complication die.

Percutaneous closure of the defect may be a useful therapeutic alternative, with the advantage of immediate shunt reduction to prevent further hemodynamic deterioration in patients with prohibitive surgical risk, even though surgical repair has historically been the gold standard to correct the structural anomaly. However, there have been certain issues with catheter-based VSR closure that have limited its use.

Dr Kumar S, Senior Consultant & HOD, Department of Cardiac Anesthesiology said, “The meticulous treatment plan Post MI VSR Devise Closure planned by a multidisciplinary team achieved superior results for the patient. In the era of percutaneous coronary intervention, VSR during acute myocardial infarction is becoming less common, but mortality is still high. Prompt diagnosis is essential. To precisely time an attempt to close the defect is the key treatment challenge in VSR. When hemodynamic permits it, expectant care should be used due to the potential benefits of deferring surgery.”

The event-less procedure, done under general anesthesia, took around two hours to complete. The patient was discharged 4 days after the procedure and resumed all normal activities. 

Dr Ganesan N, Senior Consultant – Department of Cardiology, Dr Sampath Kumar M, Senior Consultant – Department of Cardiology expressed their opinions on this difficult technique as well as their projections for cardiac cauterization’s future.  

Dr Krishnan RM, Senior Consultant and HOD – Department of Cardiothoracic Surgery, Dr B Kannan – Medical Administrator were present at the press conference.

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