Ventricular septal rupture with right ventricular wall dissection after inferior ventricular infarction: A case report and literature review

被引:4
作者
Li, Tan [1 ]
Kong, Fan-Xin [1 ]
Wang, Jun-Li [1 ]
Yang, Jun [1 ]
Ma, Chun-Yan [1 ]
机构
[1] China Med Univ, Hosp 1, Dept Cardiovasc Ultrasound, 155 Nanjing Bei St, Shenyang 110001, Liaoning, Peoples R China
关键词
dissection; myocardial infarction; right ventricle; transthoracic echocardiography; INTRAMYOCARDIAL DISSECTION; RARE COMPLICATION; ECHOCARDIOGRAPHY; OUTCOMES;
D O I
10.1002/jcu.22684
中图分类号
O42 [声学];
学科分类号
070206 ; 082403 ;
摘要
Right ventricular (RV) wall dissection following ventricular septal rupture related to inferior myocardial infarction (MI) is an extremely rare complication with a high mortality rate. We report the case of a 61-year-old man who was admitted to our hospital because of syncope and intermittent chest pain with a precordial murmur. Transthoracic echocardiography showed a rupture at the basal infero-posterior septum and RV free-wall dissection forming an echolucent cavity that extended beyond the septum and subsequently re-entered into RV chamber. The patient's overall cardiac and renal functions deteriorated and he died 24 days after the diagnosis. We present a literature review of the published cases of complex dissecting tracts through the septum and RV wall in ischemic context.
引用
收藏
页码:247 / 252
页数:6
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