The No-Win Resuscitation: Ventricular Septal Rupture and Associated Acute Aortic Occlusion
Joint Authors
Tongers, Jörn
Napp, L. C.
Bauersachs, J.
Schäfer, A.
Sieweke, Jan-Thorben
Vogel-Claussen, Jens
Martens, Andreas
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-11-19
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A 66-year-old patient was admitted under continuous resuscitation for pulseless electrical activity.
After return of spontaneous circulation ECG showed signs of acute inferior ST-elevation myocardial infarction, and echocardiography showed acute right ventricular failure with a dilated right ventricle.
Carotid pulses were present in the absence of femoral pulses.
Subsequent computed tomography demonstrated inferior myocardial infarction with ventricular septal rupture and thrombotic occlusion of the thoracic aorta, resulting in a heart-brain-circulation with loss of perfusion downstream of the aortic arch.
Teaching Points.
The present case prototypically demonstrates the fatal consequence of acute ventricular septal rupture and the eminent value of computed tomography and palpation of carotid in addition to femoral pulses in resuscitated patients.
It is, to the best of our knowledge, the first description of an acute aortic occlusion in a patient with acute ventricular septal rupture.
American Psychological Association (APA)
Sieweke, Jan-Thorben& Vogel-Claussen, Jens& Martens, Andreas& Tongers, Jörn& Schäfer, A.& Bauersachs, J.…[et al.]. 2018. The No-Win Resuscitation: Ventricular Septal Rupture and Associated Acute Aortic Occlusion. Case Reports in Critical Care،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1141506
Modern Language Association (MLA)
Sieweke, Jan-Thorben…[et al.]. The No-Win Resuscitation: Ventricular Septal Rupture and Associated Acute Aortic Occlusion. Case Reports in Critical Care No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1141506
American Medical Association (AMA)
Sieweke, Jan-Thorben& Vogel-Claussen, Jens& Martens, Andreas& Tongers, Jörn& Schäfer, A.& Bauersachs, J.…[et al.]. The No-Win Resuscitation: Ventricular Septal Rupture and Associated Acute Aortic Occlusion. Case Reports in Critical Care. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1141506
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1141506