Delayed ventricular septal rupture complicating acute inferior wall myocardial infarction

被引:3
作者
Cho J.H. [1 ]
Sattiraju S. [2 ]
Mehta S. [2 ]
Missov E. [3 ]
机构
[1] College of Medicine, University of Illinois at Urbana-Champaign, Urbana-Champaign, IL
[2] Division of Cardiology, Carle Heart and Vascular Institute, Carle Foundation Hospital, Urbana-Champaign, IL
[3] Division of Cardiology, University of Minnesota Medical School, Mayo Mail Code 508, Minneapolis, MN 55455
关键词
Echocardiography; Myocardial infarction; Surgery; Ventricular septal rupture;
D O I
10.1186/1756-0500-6-124
中图分类号
学科分类号
摘要
Background: Ventricular septal rupture is a potentially fatal complication of acute myocardial infarction. Its incidence has declined with modern reperfusion therapy. In the era of percutaneous coronary interventions, it occurs a median of 18-24 hours after myocardial infarction and is most commonly associated with anterior myocardial infarction. We present a case of delayed ventricular septal rupture complicating acute inferior wall myocardial infarction. Case presentation. A 53-year-old Caucasian male presented with epigastric pain for three days and electrocardiographic evidence for an acute inferior wall myocardial infarction. Coronary angiography revealed a total occlusion of the proximal right coronary artery. Reperfusion was achieved by balloon angioplasty followed by placement of a bare metal stent. On hospital day six, the patient developed acute respiratory distress, a new loud pansystolic murmur, and hemodynamic instability. Echocardiography revealed the presence of a large defect in the inferobasal interventricular septum with significant left-to-right shunt consistent with ventricular septal rupture. The patient underwent emergent surgical repair with a bovine pericardial patch. Conclusion: Ventricular septal rupture after myocardial infarction should be suspected in the presence of new physical findings and hemodynamic compromise regardless of revascularization therapy. © 2013 Cho et al.; licensee BioMed Central Ltd.
引用
收藏
相关论文
共 50 条
[41]   Management of post-myocardial infarction ventricular septal rupture [J].
Wilson, William M. ;
Horlick, Eric M. .
EUROINTERVENTION, 2016, 12 :X18-X23
[42]   Unruptured left ventricular pseudoaneurysm following inferior wall myocardial infarction [J].
Dubey, Laxman ;
Timala, Rabindra ;
Adhikari, Ridhi ;
Sharma, Sanjib ;
Gautam, Mani ;
Gautam, Samir .
CARDIOLOGY JOURNAL, 2012, 19 (05) :539-542
[43]   Risk factors for immediate and delayed cardiogenic shock in patients with ventricular septal rupture after myocardial infarction [J].
Wang, Si ;
Zhang, Jing ;
Xiao, Qian-Feng ;
Liu, Kai ;
Xu, Ying ;
Chen, Xiao-Ping ;
Wei, Xin ;
Peng, Yong .
FRONTIERS IN CARDIOVASCULAR MEDICINE, 2023, 10
[44]   Utility of Intra-Aortic Balloon Pump Support for Ventricular Septal Rupture and Acute Mitral Regurgitation Complicating Acute Myocardial Infarction [J].
Kettner, Jiri ;
Sramko, Marek ;
Holek, Martin ;
Pirk, Jan ;
Kautzner, Josef .
AMERICAN JOURNAL OF CARDIOLOGY, 2013, 112 (11) :1709-1713
[45]   Delayed ventricular septal rupture complicated with ventricular aneurysm in a case of myocardial infarction with non-obstructive coronary arteries [J].
Wang, Si ;
Huang, Xu ;
Xiao, Qianfeng ;
Xu, Ying ;
Wei, Xin .
BMC CARDIOVASCULAR DISORDERS, 2024, 24 (01)
[46]   Fatal Right Ventricular Free Wall Rupture During Percutaneous Coronary Intervention for Inferior Acute Myocardial Infarction [J].
Ueno, Daisuke ;
Nomura, Tetsuya ;
Ono, Kenshi ;
Sakaue, Yu ;
Hori, Yusuke ;
Yoshioka, Kenichi ;
Kikai, Masakazu ;
Keira, Natsuya ;
Tatsumi, Tetsuya .
AMERICAN JOURNAL OF CASE REPORTS, 2019, 20 :1155-1158
[47]   Left Ventricular Pseudoaneurysm Complicating Inferior Myocardial Infarction: A Case Report [J].
Erdim, Refik ;
Yildirimturk, Ozlem ;
Polat, Bulent ;
Aytekin, Saide ;
Demiroglu, Cemsid ;
Aytekin, Vedat .
INTERNATIONAL JOURNAL OF ANGIOLOGY, 2011, 20 (02) :107-109
[48]   Acute Myocardial Infarction Complicated With Ventricular Septal Rupture: Report of Three Cases [J].
Su, Wenrong ;
Wang, Shuguang ;
Wang, Jian ;
Zhang, Jungang ;
Chen, Yanbo ;
Wang, Guodong ;
Zhang, Aiyuan .
CARDIOLOGY RESEARCH, 2013, 4 (06) :203-206
[49]   Left ventricular pseudoaneurysm associated with septal ventricular rupture following myocardial infarction [J].
Catena, Emanuele ;
Sozzi, Fabiola ;
Trunfio, Salvatore ;
Montrasio, Elisa ;
Nonini, Sandra ;
Tarelli, Giuseppe .
JOURNAL OF CARDIOVASCULAR MEDICINE, 2010, 11 (02) :140-142
[50]   Ventricular septal rupture complicating acute myocardial infarction in the modern era with mechanical circulatory support: a single center observational study [J].
Liebelt, Jared J. ;
Yang, Yuanquan ;
DeRose, Joseph J. ;
Taub, Cynthia C. .
AMERICAN JOURNAL OF CARDIOVASCULAR DISEASE, 2016, 6 (01) :10-16