title: Peri-operative challenges in post myocardial infarction ventricular septal rupture: A case series and review of literature.
abstract: Ventricular septal rupture (VSR) is a life threatening complication of myocardial infarction (MI). The incidence of post-MIVSR varied from 1% to 3% in the pre-thrombolytic era. There is almost a 10-fold decrease in the reported incidences (0.2-0.3%) of MIVSR today. The mortality in such an event is as high as 50-90%. Prognosis of post-MIVSR depends on prompt echo diagnosis and proactive surgical therapy. The peri-operative challenges during management of such a case can be enormous.
authors.affiliation: Department of Cardiac Anesthesia, Cardiac and Neuro Science Center, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Kumar
authors.affiliation: Department of Cardiac Anesthesia, Cardiac and Neuro Science Center, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Arindam
authors.initials: A
authors.lastname: Choudhury
authors.affiliation: Department of Cardio-Thoracic Vascular Surgery, Cardiac and Neuro Science Center, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Devagourou
authors.initials: D
authors.lastname: Velayudam
authors.affiliation: Department of Cardiac Anesthesia, Cardiac and Neuro Science Center, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Usha
authors.initials: U
authors.lastname: Kiran
keywords: Coronary artery bypass graft surgery; etomidate; myocardial infarction; post myocardial infarction ventricular septal rupture; ventricular septal defect