Interventricular Septal Rupture

Rupture of the interventricular septum: causes, symptoms and treatment

A ventricular septal rupture, also known as ruptura septi interventricularis, is a heart condition in which there is a hole or tear in the septum separating the left and right ventricles of the heart. This is a serious condition that requires immediate medical attention. In this article, we will look at the main causes, symptoms and treatments for ventricular septal rupture.

The causes of ventricular septal rupture can be varied. One of the most common causes is myocardial infarction, when the blood supply to the heart is disrupted due to blockage of the arteries. During myocardial infarction, an area of ​​tissue necrosis is formed, which can become the site of a septal rupture. Other possible causes include chest trauma, infectious heart disease, and genetic abnormalities such as Marfan syndrome.

Symptoms of a ventricular septal tear can vary depending on the size and location of the tear. Some patients with a septal rupture may have little or no symptoms. However, in more serious cases, the following symptoms may occur:

1. Difficulty breathing and shortness of breath.
2. Fatigue and weakness.
3. Palpitations or arrhythmia.
4. Swelling in the legs, nails or abdomen.
5. Dizziness or fainting.

If you suspect a ventricular septal rupture or are experiencing these symptoms, consult your doctor immediately. Diagnosis of this condition may require a variety of techniques, including an electrocardiogram (ECG), echocardiography, and computed tomography (CT) scan.

Treatment for a ventricular septal rupture depends on its size and symptoms, as well as the patient's general condition. Small tears that do not cause significant symptoms may not require specific treatment and may heal on their own over time. However, if there are large tears or severe symptoms, surgery may be necessary.

Surgical treatment involves closing the ventricular septal tear using a plastic material or a special device called an amplatzer. This allows the integrity of the septum to be restored and normal heart function to be restored.

In some cases, a more complex surgical procedure, such as open heart surgery, may be required.

After successful treatment of a ventricular septal rupture, patients usually require regular monitoring by a cardiologist. They may be prescribed medications, such as anticoagulants, to prevent blood clots, or medications that help control arrhythmias.

Preventing ventricular septal rupture includes living a healthy lifestyle and controlling risk factors such as high blood pressure, diabetes, poor diet and smoking. Regular exercise, a healthy diet and regular visits to the doctor can help maintain a healthy heart.

A ventricular septal rupture is a serious condition that requires immediate intervention and treatment. If you suspect this condition or are experiencing symptoms, contact a healthcare professional for diagnosis and appropriate care. Early detection and treatment can greatly improve the chances of full recovery and maintaining heart health.

Many people are wondering how the breakup happened. Here's what we know:

History of smoking, arterial hypertension, disseminated intravascular coagulation syndrome according to examination results (all examinations were performed more than 2 weeks after injury). The description of the medical record indicated manipulations in both ventricles of the heart, but there were no indications for surgery.