Post-myocardial infarction ventricular septal rupture in a patient with large secundum atrial septal defect: a case report.

ABSTRACT: Ventricular septal rupture (VSR) is an uncommon but potentially fatal complication of acute myocardial infarction (AMI). The management of VSR is challenging, and its surgical correction is associated with the highest mortality among all cardiac surgery procedures. A 57-year-old man with a history of smoking presented with AMI with a large apical VSR in addition to a large secundum atrial septal defect (ASD). His left ventricular ejection fraction was 30%, and the right ventricle was moderately dilated with normal systolic function. Cardiac catheterization revealed that the left anterior descending artery was diffusely diseased with total mid occlusion, whereas other coronary arteries had non-obstructive disease. This unique combination resulted in distinctive presentation with paradoxical

SUBMITTER: Shah SH 

PROVIDER: S-EPMC6601236 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature