The No-Win Resuscitation: Ventricular Septal Rupture and Associated Acute Aortic Occlusion

Sieweke, Jan-Thorben and Vogel-Claussen, Jens and Martens, Andreas and Tongers, Jörn and Schäfer, Andreas and Bauersachs, Johann and Napp, L. Christian (2018) The No-Win Resuscitation: Ventricular Septal Rupture and Associated Acute Aortic Occlusion. Case Reports in Critical Care, 2018. pp. 1-4. ISSN 2090-6420

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Abstract

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.

Item Type: Article
Subjects: Institute Archives > Medical Science
Depositing User: Managing Editor
Date Deposited: 13 Apr 2023 04:37
Last Modified: 29 May 2024 05:11
URI: http://eprint.subtopublish.com/id/eprint/881

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