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1.
J Card Surg ; 37(6): 1759-1763, 2022 Jun.
Artículo en Inglés | MEDLINE | ID: covidwho-1752614

RESUMEN

INTRODUCTION: Ventricular septal defect (VSD) is one of the mechanical complications of acute myocardial infarction (MI), whose incidence has been decreasing throughout the years because of the emergence of different reperfusion therapy strategies. METHODS: We present a series of seven patients who underwent surgery for post-MI VSD repair in our institution in the period between March 2020 and June 2021. DISCUSSION: During the recent SARS-COV2 pandemic, time to hospital admission increased due to patients being overcautious out of fear of exposing themselves to COVID-19. The increased time to hospital admission, with associated late reperfusion therapy and delayed PCI, is closely related to an augmented incidence of post-myocardial infarction mechanical complications such as ventricular septal defects. For this reason, we witnessed an increase in the incidence of post-MI VSD. CONCLUSION: Fear of exposure to SARS-COV2 in the medical environment was a major source of concern for all our patients. The target of hospital policy should be to reassure patients of freedom from COVID in the emergency department and cardiac wards in order to prevent such dreadful complications.


Asunto(s)
COVID-19 , Defectos del Tabique Interventricular , Infarto del Miocardio , Intervención Coronaria Percutánea , Defectos del Tabique Interventricular/complicaciones , Defectos del Tabique Interventricular/cirugía , Humanos , Incidencia , Infarto del Miocardio/complicaciones , Infarto del Miocardio/epidemiología , Pandemias , Intervención Coronaria Percutánea/efectos adversos , ARN Viral , SARS-CoV-2 , Resultado del Tratamiento
2.
BMC Cardiovasc Disord ; 20(1): 494, 2020 11 23.
Artículo en Inglés | MEDLINE | ID: covidwho-1094026

RESUMEN

BACKGROUND: Infective endocarditis has a relevant clinical impact due to its high morbidity and mortality rates. Right-sided endocarditis has lower complication rates than left-sided endocarditis. Common complications are multiple septic pulmonary embolisms, haemoptysis, and acute renal failure. Risk factors associated with right-sided infective endocarditis are commonly related to intravenous drug abuse, central venous catheters, or infections due to implantable cardiac devices. However, patients with congenital ventricular septal defects might be at high risk of endocarditis and haemodynamic complications. CASE PRESENTATION: In the following, we present the case of a 23-year-old man without a previous intravenous drug history with tricuspid valve Staphylococcus aureus endocarditis complicated by acute renal failure and haemoptysis caused by multiple pulmonary emboli. In most cases, right-sided endocarditis is associated with several common risk factors, such as intravenous drug abuse, a central venous catheter, or infections due to implantable cardiac devices. In this case, we found a small perimembranous ventricular septal defect corresponding to a type 2 Gerbode defect. This finding raised the suspicion of a congenital ventricular septal defect complicated by a postendocarditis aneurysmal transformation. CONCLUSIONS: Management of the complications of right-sided infective endocarditis requires a multidisciplinary approach. Echocardiographic approaches should include screening for ventricular septal defects in patients without common risk factors for tricuspid valve endocarditis. Patients with undiagnosed congenital ventricular septal defects are at high risk of infective endocarditis. Therefore, endocarditis prophylaxis after dental procedures and/or soft-tissue infections is highly recommended. An acquired ventricular septal defect is a very rare complication of infective endocarditis. Surgical management of small ventricular septal defects without haemodynamic significance is still controversial.


Asunto(s)
Lesión Renal Aguda/etiología , Circulación Coronaria , Endocarditis Bacteriana/microbiología , Defectos del Tabique Interventricular/fisiopatología , Hemodinámica , Hemoptisis/etiología , Infecciones Estafilocócicas/microbiología , Lesión Renal Aguda/microbiología , Lesión Renal Aguda/fisiopatología , Antibacterianos/uso terapéutico , Tratamiento Conservador , Endocarditis Bacteriana/complicaciones , Endocarditis Bacteriana/diagnóstico , Endocarditis Bacteriana/tratamiento farmacológico , Defectos del Tabique Interventricular/complicaciones , Defectos del Tabique Interventricular/diagnóstico por imagen , Hemoptisis/microbiología , Hemoptisis/fisiopatología , Humanos , Masculino , Factores de Riesgo , Infecciones Estafilocócicas/complicaciones , Infecciones Estafilocócicas/diagnóstico , Infecciones Estafilocócicas/tratamiento farmacológico , Resultado del Tratamiento , Adulto Joven
3.
Cardiol Young ; 31(1): 138-140, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: covidwho-1065756

RESUMEN

Reports thus far suggest a mild course for acute COVID-19 infection in children; however, its effects in vulnerable paediatric populations, including children with haemodynamically significant congenital heart disease, have rarely been reported. We therefore report on a 4-month-old Hispanic male with a moderate sized conoventricular ventricular septal defect and pulmonary overcirculation who presented with COVID-19-associated pneumonia.


Asunto(s)
COVID-19/fisiopatología , Defectos del Tabique Interventricular/fisiopatología , COVID-19/complicaciones , COVID-19/diagnóstico por imagen , COVID-19/terapia , Ecocardiografía , Defectos del Tabique Interventricular/complicaciones , Defectos del Tabique Interventricular/diagnóstico por imagen , Humanos , Lactante , Masculino , Terapia por Inhalación de Oxígeno , Radiografía Torácica , SARS-CoV-2
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