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Case Reports
. 2020 Aug;2(10):1628-1632.
doi: 10.1016/j.jaccas.2020.06.019. Epub 2020 Jun 24.

Post-MI Ventricular Septal Defect During the COVID-19 Pandemic

Saurabh Joshi  1 , Faraz Nasim Kazmi  1 , Immad Sadiq  1 , Talhat Azemi  1
Affiliations
Case Reports

Post-MI Ventricular Septal Defect During the COVID-19 Pandemic

Saurabh Joshi et al. JACC Case Rep. 2020 Aug.

Abstract

With the COVID-19 pandemic, the fear among patients of contracting it has made them reluctant to seek medical attention on a timely basis even for emergent conditions. We present a case of post infarction ventricular septal rupture due to delayed presentation as a consequence of the fear of COVID-19. (Level of Difficulty: Intermediate.).

Keywords: CAD, coronary artery disease; LAD, left anterior descending; MI, myocardial infarction; PCI, percutaneous coronary intervention; RCA, right coronary artery; RV, right ventricle; VSR, ventricular septal rupture; chest pain; complication; left-sided catheterization; myocardial infarction; right-sided catheterization; ventricular septal defect.

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Figures

None
Graphical abstract
Figure 1
Figure 1
Presenting Electrocardiogram Presenting electrocardiogram ST-segment elevation in the inferior leads (II, III, aVF) with associated Q waves and reciprocal ST-segment depression in high lateral leads (I and aVL).
Figure 2
Figure 2
RCA Angiogram Right coronary artery (RCA) angiogram in left anterior oblique projection demonstrating acute occlusion of the stent in the mid RCA (as indicated by the arrow).
Figure 3
Figure 3
RAO Left Ventriculogram Left ventriculogram in anterior oblique (RAO) projection demonstrating contrast filling of right ventricle (RV) and pulmonary artery (PA) from the left ventricle (LV).
Figure 4
Figure 4
LAO Left Ventriculogram Left ventriculogram in left anterior oblique (LAO) projection demonstrating contrast filling of the right ventricle (RV) and pulmonary artery (PA) from the left ventricle (LV).
Figure 5
Figure 5
PCWP Tracing Elevated pulmonary capillary wedge pressure (PCWP) with prominent “v” waves.
See this image and copyright information in PMC

References

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