Abstract
Ventricular septal rupture is a rare but devastating complication of acute myocardial infarction. Especially in patients with cardiogenic shock, right ventricular dysfunction or an inferior infarct mortality is very high. We present a case in which an 83-year-old patient survived rupture of the ventricular septum complicating an inferior myocardial infarction. Unlike most patients his haemodynamic status did not deteriorate and delayed elective surgical repair was carried out successfully.
Keywords: ventricular septal rupture, acute myocardial infarction, complications
Full text
PDF


Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Birnbaum Yochai, Fishbein Michael C., Blanche Carlos, Siegel Robert J. Ventricular septal rupture after acute myocardial infarction. N Engl J Med. 2002 Oct 31;347(18):1426–1432. doi: 10.1056/NEJMra020228. [DOI] [PubMed] [Google Scholar]
- Cox F. F., Plokker H. W., Morshuis W. J., Kelder J. C., Vermeulen F. E. Importance of coronary revascularization for late survival after postinfarction ventricular septal rupture. A reason to perform coronary angiography prior to surgery. Eur Heart J. 1996 Dec;17(12):1841–1845. doi: 10.1093/oxfordjournals.eurheartj.a014801. [DOI] [PubMed] [Google Scholar]
- Crenshaw B. S., Granger C. B., Birnbaum Y., Pieper K. S., Morris D. C., Kleiman N. S., Vahanian A., Califf R. M., Topol E. J. Risk factors, angiographic patterns, and outcomes in patients with ventricular septal defect complicating acute myocardial infarction. GUSTO-I (Global Utilization of Streptokinase and TPA for Occluded Coronary Arteries) Trial Investigators. Circulation. 2000 Jan 4;101(1):27–32. doi: 10.1161/01.cir.101.1.27. [DOI] [PubMed] [Google Scholar]
- Giuliani E. R., Danielson G. K., Pluth J. R., Odyniec N. A., Wallace R. B. Postinfarction ventricular septal rupture: surgical considerations and results. Circulation. 1974 Mar;49(3):455–459. doi: 10.1161/01.cir.49.3.455. [DOI] [PubMed] [Google Scholar]
- Lemery R., Smith H. C., Giuliani E. R., Gersh B. J. Prognosis in rupture of the ventricular septum after acute myocardial infarction and role of early surgical intervention. Am J Cardiol. 1992 Jul 15;70(2):147–151. doi: 10.1016/0002-9149(92)91266-7. [DOI] [PubMed] [Google Scholar]
- Loisance D. Y., Lordez J. M., Deleuze P. H., Dubois-Rande J. L., Lellouche D., Cachera J. P. Acute postinfarction septal rupture: long-term results. Ann Thorac Surg. 1991 Sep;52(3):474–478. doi: 10.1016/0003-4975(91)90908-9. [DOI] [PubMed] [Google Scholar]
- Moore C. A., Nygaard T. W., Kaiser D. L., Cooper A. A., Gibson R. S. Postinfarction ventricular septal rupture: the importance of location of infarction and right ventricular function in determining survival. Circulation. 1986 Jul;74(1):45–55. doi: 10.1161/01.cir.74.1.45. [DOI] [PubMed] [Google Scholar]
- Reeder G. S. Identification and treatment of complications of myocardial infarction. Mayo Clin Proc. 1995 Sep;70(9):880–884. doi: 10.1016/S0025-6196(11)63946-3. [DOI] [PubMed] [Google Scholar]
- Ryan T. J., Antman E. M., Brooks N. H., Califf R. M., Hillis L. D., Hiratzka L. F., Rapaport E., Riegel B., Russell R. O., Smith E. E., 3rd 1999 update: ACC/AHA guidelines for the management of patients with acute myocardial infarction. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Acute Myocardial Infarction). J Am Coll Cardiol. 1999 Sep;34(3):890–911. doi: 10.1016/s0735-1097(99)00351-4. [DOI] [PubMed] [Google Scholar]


