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Closing Postinfarction Rupture of Interventricular Septum with an Occluder


The COVID-19 pandemic also has a significant impact on patients with heart disease. Attention is drawn to the growing number of patients with advanced and severe complications of acute myocardial infarction.

A 58-year-old patient with an acute myocardial infarction complicated by rupture of the interventricular septum of the heart was admitted to the Heart Institute, Kyiv.

Due to the severity of the condition (one of the indicators – the pressure in the pulmonary artery was 85 mm Hg, at a rate of up to 20 mm Hg), the patient underwent the following interventions: stenting of coronary arteries and endovascular closure of the defect with an occluder.
While in the operating room, immediately after closing the defect, the pulmonary artery pressure decreased by 40%.
The patient is currently transferred from the intensive care unit to the ward for further treatment and rehabilitation.
The operation was performed by Andriy Khokhlov – head of the department of endovascular surgery and angiography, cardiac surgeons – Maxim Shimanko, Konstantin Boyko, anesthesiologist – Maria Slyubyk.
Preoperative preparation and postoperative management of the patient was performed by a team of doctors of the intensive care unit led by the head Igor Kuzmich.

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