Double ventricular rupture after acute myocardial infarction: A rare case report

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• 作者：Rajan Nair Shreetal^a ; ^{shreetal@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Kalathingathodika Sajeer^a ; Rajasekharan Sandeep^a ; Gopalan Nair Rajesh^b ; Vellani Haridasan^c ; Rajesh Sadanadan^d ; K.M. Kuriakose^e ; Mangalath Narayanan Krishnan^f
• 关键词：Ventricular septal rupture ; Double mechanical rupture ; Free-wall rupture ; Myocardial infarction
• 刊名：Indian Heart Journal
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：67
• 期：supp_S3
• 页码：S21-S23
• 全文大小：1031 K

文摘

A previously asymptomatic 53-year-old male presented 5 days after an acute anterior wall myocardial infarction, who was fibrinolytic naïve, with worsening dyspnea. Transthoracic echocardiographic evaluation revealed rupture of the interventricular septum and pseudoaneurysm of the left ventricle, confirmed by angiography. Coronary angiogram revealed multivessel disease. The patient underwent successful closure of ventricular septal rupture with repair of pseudoaneurysm and saphenous vein grafts to posterior descending branch of right coronary artery and obtuse marginal branch of left circumflex artery. Double ventricular ruptures following acute myocardial infarction are very rare with a reported incidence of 0.3% from various series in the revascularization era. They are also associated with exceedingly high mortality rates reaching up to 50%, even when intervened emergently.