Hepatic and Renal Failure after Anterior Myocardial Infarction Induced Apical Ventricular Septal Defect
We report the case of a 68-year-old man suffering from incremental hepatic and renal failure one month after anterior myocardial infarction. Cardiac MRI showed a pronounced apical post-AMI aneurysm, a moderate to severe mitral and tricuspid regurgitation as well as a hemodynamically highly significa...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2010/645236 |
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| _version_ | 1832565118785814528 |
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| author | Dirk Lossnitzer Vedat Schwenger Stephanie Lehrke Evangelos Giannitsis Martin Zeier Hugo A. Katus Henning Steen |
| author_facet | Dirk Lossnitzer Vedat Schwenger Stephanie Lehrke Evangelos Giannitsis Martin Zeier Hugo A. Katus Henning Steen |
| author_sort | Dirk Lossnitzer |
| collection | DOAJ |
| description | We report the case of a 68-year-old man suffering from incremental hepatic and renal failure one month after anterior myocardial infarction. Cardiac MRI showed a pronounced apical post-AMI aneurysm, a moderate to severe mitral and tricuspid regurgitation as well as a hemodynamically highly significant 12 mm apical ventricular septal defect with a left-to-right ventricular shunt of almost 63% as the underlying cause. Heart X-ray revealed a severe LAD in-stent restenosis. CAPD catheter drainage of hydroperitoneum due to congestive liver and renal failure was provided in combination with intensified CAPD hemodialysis. Heart surgery was performed where the apical aneurysm was excised, the mitral valve was reconstructed, the IVSD was closed and the subtotally in-stent occluded LAD was bypassed. Post-surgery, the ascites were significantly reduced, and CAPD hemodialysis therapy could be terminated since the renal function gradually improved (MDRD = 25 mL/min). To our knowledge, for the first time we report successful CAPD catheter drainage of hydroperitoneum in combination with CAPD hemodialysis. |
| format | Article |
| id | doaj-art-a6fc50d5b70a4d6e9f9b0ec9328fb09d |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-a6fc50d5b70a4d6e9f9b0ec9328fb09d2025-02-03T01:09:12ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/645236645236Hepatic and Renal Failure after Anterior Myocardial Infarction Induced Apical Ventricular Septal DefectDirk Lossnitzer0Vedat Schwenger1Stephanie Lehrke2Evangelos Giannitsis3Martin Zeier4Hugo A. Katus5Henning Steen6Division of Cardiology, Pneumology and Angiology, Department of Internal Medicine III, University of Heidelberg, 69120 Heidelberg, GermanyDivision of Nephrology, University of Heidelberg, 69120 Heidelberg, GermanyDivision of Cardiology, Pneumology and Angiology, Department of Internal Medicine III, University of Heidelberg, 69120 Heidelberg, GermanyDivision of Cardiology, Pneumology and Angiology, Department of Internal Medicine III, University of Heidelberg, 69120 Heidelberg, GermanyDivision of Nephrology, University of Heidelberg, 69120 Heidelberg, GermanyDivision of Cardiology, Pneumology and Angiology, Department of Internal Medicine III, University of Heidelberg, 69120 Heidelberg, GermanyDivision of Cardiology, Pneumology and Angiology, Department of Internal Medicine III, University of Heidelberg, 69120 Heidelberg, GermanyWe report the case of a 68-year-old man suffering from incremental hepatic and renal failure one month after anterior myocardial infarction. Cardiac MRI showed a pronounced apical post-AMI aneurysm, a moderate to severe mitral and tricuspid regurgitation as well as a hemodynamically highly significant 12 mm apical ventricular septal defect with a left-to-right ventricular shunt of almost 63% as the underlying cause. Heart X-ray revealed a severe LAD in-stent restenosis. CAPD catheter drainage of hydroperitoneum due to congestive liver and renal failure was provided in combination with intensified CAPD hemodialysis. Heart surgery was performed where the apical aneurysm was excised, the mitral valve was reconstructed, the IVSD was closed and the subtotally in-stent occluded LAD was bypassed. Post-surgery, the ascites were significantly reduced, and CAPD hemodialysis therapy could be terminated since the renal function gradually improved (MDRD = 25 mL/min). To our knowledge, for the first time we report successful CAPD catheter drainage of hydroperitoneum in combination with CAPD hemodialysis.http://dx.doi.org/10.1155/2010/645236 |
| spellingShingle | Dirk Lossnitzer Vedat Schwenger Stephanie Lehrke Evangelos Giannitsis Martin Zeier Hugo A. Katus Henning Steen Hepatic and Renal Failure after Anterior Myocardial Infarction Induced Apical Ventricular Septal Defect Case Reports in Medicine |
| title | Hepatic and Renal Failure after Anterior Myocardial Infarction Induced Apical Ventricular Septal Defect |
| title_full | Hepatic and Renal Failure after Anterior Myocardial Infarction Induced Apical Ventricular Septal Defect |
| title_fullStr | Hepatic and Renal Failure after Anterior Myocardial Infarction Induced Apical Ventricular Septal Defect |
| title_full_unstemmed | Hepatic and Renal Failure after Anterior Myocardial Infarction Induced Apical Ventricular Septal Defect |
| title_short | Hepatic and Renal Failure after Anterior Myocardial Infarction Induced Apical Ventricular Septal Defect |
| title_sort | hepatic and renal failure after anterior myocardial infarction induced apical ventricular septal defect |
| url | http://dx.doi.org/10.1155/2010/645236 |
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