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2.1
Interventricular Septum Aneurysm

Presentation

Abstract We present the case of a 34-year-old female who was admitted to our hospital due to community-acquired pneumonia and had a transthoracic echocardiogram which revealed an aneurysm of the membranous interventricular septum. [ncbi.nlm.nih.gov]

Related article at Pubmed Scholar Google Objectives The main reason for the presentation of this clinical case was to discover the hidden diagnosis of a young patient, who presented lipothymia during a sports class, while participating in the running [omicsonline.org]

A 53-year-old man with no medical history presented to the local doctor with a 1-week history of worsening dyspnea at rest (New York Heart Association class III–IV). [jstage.jst.go.jp]

A 48-year-old patient with a muscular interventricular septum aneurysm coexisting with atrial septal defect, pulmonary stenosis and ventricular preexcitation is presented. [link.springer.com]

Conclusion We present a form of LV dysplasia of the newborn with unique morphologic features, which we have termed saw-tooth cardiomyopathy because of the very characteristic appearance. [jcmr-online.biomedcentral.com]

Workup

(See Workup.) Perimembranous VSD is caused by failure of the endocardial cushions, the conotruncal ridges, and the muscular septum to fuse at a single point in space. [emedicine.medscape.com]

Treatment

Treatment of heart aneurysm in Israel is carried out in Israel at the cardiology department of Herzliya Medical Center. [hmcisrael.com]

Treatment [ edit ] Some people live with this type of aneurysm for many years without any specific treatment. Treatment is limited to surgery ( ventricular reduction ) for this defect of the heart. [en.wikipedia.org]

guidelines, discoveries in your fields of interest; be notified You are informed about innovative treatments, techniques and innovations in medicine This video is limited to doctors and other health professionals. [medtube.net]

Completely revised and updated with 80 all-new chapters covering the most important information on current diagnostic, treatment, and preventive challenges facing feline practitioners today, Consultations in Feline Internal Medicine is an invaluable addition [books.google.com]

Prognosis

(See Epidemiology, Prognosis, and Treatment.) [emedicine.medscape.com]

It is usually discovered in the third trimester, if it is detected earlier there are usually some complications developed as well, and therefore the prognosis is worse. [ncbi.nlm.nih.gov]

[…] exertion of the heart and prevent further growth of the aneurysm Antiarrhythmic treatment Prevention education for patients about the mural thrombus and thromboembolic complications Effective drug control symptoms for heart aneurysm vastly improve patient prognosis [hmcisrael.com]

Its prognosis is poor. Early diagnosis and operation are necessary. The wall of the aneurysm was resected and the interventricular septum was reconstructed. [omicsonline.org]

Lung transplantation with repair of the cardiac or combined heart-lung transplantation is an option for patients with a poor prognosis (failing to respond to medical therapy). [rjmatthewsmd.com]

Etiology

The etiology is usually congenital. References Promoted articles (advertising) [radiopaedia.org]

This case supports the theory that these aneurysms are congenital in etiology. Ethical disclosures Protection of human and animal subjects The authors declare that no experiments were performed on humans or animals for this study. [elsevier.pt]

(See Etiology.) Small VSDs (defined as VSD dimension less than half the size of the aortic annulus diameter) are usually isolated defects with otherwise normal cardiac anatomy and function. [emedicine.medscape.com]

Epidemiology

(See Epidemiology, Prognosis, and Treatment.) [emedicine.medscape.com]

Pathophysiology

In most cases the diagnosis is made postnatal, while antenatal diagnosis, because of the pathophysiology of aneurysm itself, as well as pathophysiology of its possible complications, is made usually during the third trimester, frequently after the 34th [ncbi.nlm.nih.gov]

However, these data were discordant, and they generate a lot of perplexities: Despite a VSD developed a high-velocity flow in RV that pathophysiology does not cause pulmonary volume overload, TR jet velocity was high and this finding contrast with lack [jcecho.org]

The pathophysiology is that of a low-pressure left-to-right shunt with right heart dilation and pulmonary overcirculation. Symptoms are rare before the third decade and include CHF, pulmonary hypertension and atrial arrhythmia. [rjmatthewsmd.com]

Prevention

Medicines may be used temporarily to help with symptoms, but they don't cure the VSD or prevent permanent damage to the lung arteries. [heart.org]

Completely revised and updated with 80 all-new chapters covering the most important information on current diagnostic, treatment, and preventive challenges facing feline practitioners today, Consultations in Feline Internal Medicine is an invaluable addition [books.google.com]

[…] treatment of this type cannot eliminate mechanical defect in the heart and damage to the muscle wall, nor is complete prevention possible – patients may remain at risk of complications. [hmcisrael.com]

In case of embolic episode patient needs antiplatelet drugs and preferably oral anticoagulation for secondary prevention of cardioembolic episode. [escardio.org]

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