Ventricular Septal Rupture Ventricular Septal Rupture (VSR) is a rare but serious complication, historically seen after myocardial infarction (MI). The incidence has decreased with reperfusion strategies, yet mortality remains high at 41-80%. 1. When should we worry about VSR?Typically occurs after a first MI in patients with delayed or no…

Post-TAVR: Suicide Left Ventricle High afterload from aortic stenosis leads to compensatory left ventricular hypertrophy and chronic pressure overload. After TAVR, rapid reduction in afterload can lead to increased contractility from the chronically hypertrophied LV, resulting in cavity obliteration. Treatment Approach: Treat Like Hypertrophic Cardiomyopathy with Obstruction Ensure adequate preload…

Syphilitic Aortitis and Severe AR Characterizing Severe Aortic RegurgitationAR is characterized as acute or chronic, with acute AR often presenting with severe cardiovascular collapse. Further classification includes primary (valve disorder) or secondary (aortic root/aorta disorder) AR. Stages of Chronic ARChronic AR leads to increased LV volume and wall stress. In…

Severe Aortic Regurgitation This flowchart categorizes causes of severe aortic regurgitation (AR) into chronic and acute forms. Chronic AR may arise from leaflet abnormalities due to infections, inflammatory conditions, or structural issues, while aortopathy-related AR is associated with genetic conditions or degenerative changes. Acute AR can result from traumatic or…