Asymptomatic ventricular septal rupture following inferior wall myocardial infarction

Mahla, Himanshu; Bhairappa, Shivakumar; Rangaiah, Sunil Kumar Kondethimmanahally; Channabasappa, Yeriswamy Mogalahally; Dwarakaprasad, Ramesh; Manjunath, Cholenahally Nanjappa

doi:10.1016/j.jicc.2014.06.007

Cited by 3 publications

(7 citation statements)

References 5 publications

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“…Ventricular septal rupture is a rare complication following myocardial infarction 1 . Clinical presentation includes acute heart failure and/or cardiogenic shock, but can rarely be completely asymptomatic 2 , 3 …”

Section: Discussionmentioning

confidence: 99%

Ventricular septal rupture presented with chronic heart failure symptoms: a case report

Michelis

Kontonasakis

Tsakliadou

et al. 2019

European Heart Journal - Case Reports

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Background Ventricular septal rupture (VSR) is a rare mechanical complication following acute myocardial infarction, with very high mortality rate. Haemodynamic deterioration and cardiogenic shock is common in such cases. Rarely, however, patients may show only signs of chronic heart failure or be completely asymptomatic. Case summary We report a case of a 72-year-old male patient with VSR following a transmural myocardial infarction. He sought medical attention only after gradually experiencing symptoms of chronic heart failure, weeks after the onset of the myocardial infarction. The patient successfully underwent elective repair surgery, after optimizing the medical therapy and completing the necessary workup. Discussion Ventricular septal rupture repair is necessary in all cases due to the high mortality rate if left untreated. The timing of the operation, however, should be decided individually for every patient. Haemodynamically unstable patients may require early surgery, but in stable patients responding to medical treatment, delayed repair may be the best option.

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Section: Discussionmentioning

confidence: 99%

Ventricular septal rupture presented with chronic heart failure symptoms: a case report

Michelis

Kontonasakis

Tsakliadou

et al. 2019

European Heart Journal - Case Reports

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“…A type I lesion is defined by an abrupt tear in the ventricular wall without thinning, a type II VSR is defined as infarcted myocardium that erodes before rupture and is covered by thrombus, and type III describes the perforation of a previously formed aneurysm. 1…”

Section: Discussionmentioning

confidence: 99%

“…Patient symptoms, serology, and EKG findings are consistent with an ST elevation myocardial infarction. The patient was immediately taken to the cardiac catheterization laboratory for 687992J DMXXX10.1177/8756479316687992Journal of Diagnostic Medical SonographyRampoldi and Kallstrom research-article2017 1 The Heart Hospital Baylor Plano, Plano, TX, USA 2 Legacy Heart Center, Plano, TX, USA intervention. Cardiac catheterization demonstrated a 100% stenosis with thrombus in the proximal left anterior descending artery and a left ventricular ejection fraction of approximately 25% by ventriculography.…”

Section: Case Studymentioning

confidence: 99%

“…Patient symptoms, serology, and EKG findings are consistent with an ST elevation myocardial infarction. The patient was immediately taken to the cardiac catheterization laboratory for 687992J DMXXX10.1177/8756479316687992Journal of Diagnostic Medical SonographyRampoldi and Kallstrom research-article2017 1 The Heart Hospital Baylor Plano, Plano, TX, USA 2 Legacy Heart Center, Plano, TX, USA Transthoracic echocardiogram was performed the next day and demonstrated a left ventricular ejection fraction of 30% to 35%, respectively. There was severe hypokinesis of all apical and distal segments and hypokinesis of the mid anterior and anteroseptal walls.…”

Section: Case Studymentioning

confidence: 99%

“…Ventricular septal rupture (VSR) is a rare life-threatening mechanical complication secondary to acute myocardial infarction (MI) that usually occurs 2 to 8 days after infarction and frequently precipitates cardiogenic shock. 1,2 The mortality rate for VSR has been reported to be between 41% and 80% 3 ; therefore, immediate surgical intervention should be considered. Furthermore, VSR is a complication of 0.17% to 0.31% of patients who present with an anterior myocardial infarction.…”

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The Role of Echocardiography in the Assessment of Ventricular Septal Rupture Postmyocardial Infarction

Rampoldi

Kallstrom

2017

Journal of Diagnostic Medical Sonography

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Ventricular septal rupture (VSR) is a rare life-threatening mechanical complication secondary to acute myocardial infarction that usually occurs 2 to 8 days after infarction and frequently precipitates cardiogenic shock. The mortality rate for VSR has been reported to be between 41% and 80%; therefore, immediate surgical intervention should be considered. Furthermore, VSR is a complication of 0.17% to 0.31% of patients who present with an anterior myocardial infarction. Because of the rarity of this pathology, the role of transthoracic echocardiographic investigation will help to improve what is already considered a poor prognosis for these types of patients. This case study illustrates how transthoracic echocardiography plays an essential role in the rapid assessment and diagnosis of VSR in clinical practice.

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Repair of Post-Infarction Ventricular Septal Rupture and Ventricular Aneurysm: A Case Report

Das,

Rahman,

Hossain

et al. 2023

Eastern Med. Coll. J.

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Ventricular septal rupture is one of the fatal complications of acute myocardial infarction. With the advancement of medical management and availability of emergency cardiac care, the incidence of post infarct ventricular septal rupture has reduced considerably. We report a case, unique in being a late presentation of post infarct ventricular septal rupture with left ventricular aneurysm. The Ventricular septal rupture was repaired using a PTFE patch, followed by reinforced linear closure of aneurysm by a glutaraldehyde treated pericardial felt and revascularization using reversed saphenous vein graft to left anterior descending artery. The patient survived surgery with an uneventful postoperative course. Eastern Med Coll J. July 2023; 8 (2):75-77

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Asymptomatic ventricular septal rupture following inferior wall myocardial infarction

Cited by 3 publications

References 5 publications

Ventricular septal rupture presented with chronic heart failure symptoms: a case report

Ventricular septal rupture presented with chronic heart failure symptoms: a case report

The Role of Echocardiography in the Assessment of Ventricular Septal Rupture Postmyocardial Infarction

Repair of Post-Infarction Ventricular Septal Rupture and Ventricular Aneurysm: A Case Report

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