The No-Win Resuscitation: Ventricular Septal Rupture and Associated Acute Aortic Occlusion
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 ventric...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2018/1568491 |
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| author | Jan-Thorben Sieweke Jens Vogel-Claussen Andreas Martens Jörn Tongers Andreas Schäfer Johann Bauersachs L. Christian Napp |
| author_facet | Jan-Thorben Sieweke Jens Vogel-Claussen Andreas Martens Jörn Tongers Andreas Schäfer Johann Bauersachs L. Christian Napp |
| author_sort | Jan-Thorben Sieweke |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-953967b73dbb441086af3ab19280e4ea |
| institution | OA Journals |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-953967b73dbb441086af3ab19280e4ea2025-08-20T02:09:58ZengWileyCase Reports in Critical Care2090-64202090-64392018-01-01201810.1155/2018/15684911568491The No-Win Resuscitation: Ventricular Septal Rupture and Associated Acute Aortic OcclusionJan-Thorben Sieweke0Jens Vogel-Claussen1Andreas Martens2Jörn Tongers3Andreas Schäfer4Johann Bauersachs5L. Christian Napp6Cardiac Arrest Center, Department of Cardiology and Angiology, Hannover Medical School, Hannover, GermanyInstitute for Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, GermanyDepartment of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, GermanyCardiac Arrest Center, Department of Cardiology and Angiology, Hannover Medical School, Hannover, GermanyCardiac Arrest Center, Department of Cardiology and Angiology, Hannover Medical School, Hannover, GermanyCardiac Arrest Center, Department of Cardiology and Angiology, Hannover Medical School, Hannover, GermanyCardiac Arrest Center, Department of Cardiology and Angiology, Hannover Medical School, Hannover, GermanyA 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.http://dx.doi.org/10.1155/2018/1568491 |
| spellingShingle | Jan-Thorben Sieweke Jens Vogel-Claussen Andreas Martens Jörn Tongers Andreas Schäfer Johann Bauersachs L. Christian Napp The No-Win Resuscitation: Ventricular Septal Rupture and Associated Acute Aortic Occlusion Case Reports in Critical Care |
| title | The No-Win Resuscitation: Ventricular Septal Rupture and Associated Acute Aortic Occlusion |
| title_full | The No-Win Resuscitation: Ventricular Septal Rupture and Associated Acute Aortic Occlusion |
| title_fullStr | The No-Win Resuscitation: Ventricular Septal Rupture and Associated Acute Aortic Occlusion |
| title_full_unstemmed | The No-Win Resuscitation: Ventricular Septal Rupture and Associated Acute Aortic Occlusion |
| title_short | The No-Win Resuscitation: Ventricular Septal Rupture and Associated Acute Aortic Occlusion |
| title_sort | no win resuscitation ventricular septal rupture and associated acute aortic occlusion |
| url | http://dx.doi.org/10.1155/2018/1568491 |
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