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Case Reports
. 2022 Dec 5;18(1):113-116.
doi: 10.14797/mdcvj.1157. eCollection 2022.

An Undiagnosed Ventricular Septal Rupture Presenting as New Onset Heart Failure: A Rare Complication of an Anterior Myocardial Infarction

Ryan T Nguyen  1 , Priyanka Satish  1 , Marvin D Atkins Jr  1 , Sachin S Goel  1
Affiliations
Case Reports

An Undiagnosed Ventricular Septal Rupture Presenting as New Onset Heart Failure: A Rare Complication of an Anterior Myocardial Infarction

Ryan T Nguyen et al. Methodist Debakey Cardiovasc J. .

Abstract

Ventricular septal ruptures (VSR) are a rare but fatal complication of acute myocardial infarctions. We present a patient complaining of new onset heart failure symptoms that were found to be secondary to a new ventricular septal rupture from a recently undiagnosed anterior myocardial infarction. The patient underwent successful VSR patch repair with eventual recovery. This case highlights the importance of early diagnosis of VSR and reviews management options and appropriate timing for intervention.

Keywords: myocardial infarction; ventricular septal rupture.

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Conflict of interest statement

The authors have no competing interests to declare.

Figures

Surgical images of the ventricular septal defect with adhesions
Figure 1
Surgical images of the ventricular septal defect with adhesions from the anterior wall to the pericardial space.
See this image and copyright information in PMC

References

    1. Birnbaum Y, Fishbein M, Blanche C, Siegel R. Ventricular septal rupture after acute myocardial infarction. New Engl J Med. 2002. Oct 31;347(18):1426-32. doi: 10.1056/NEJMra020228 - DOI - PubMed
    1. Cho JH, Sattiraju S, Mehta S, Missov E. Delayed ventricular septal rupture complicating acute inferior wall myocardial infarction. BMC Res Notes. 2013;6:124. doi: 10.1186/1756-0500-6-124 - DOI - PMC - PubMed
    1. Jones BM, Kapadia SR, Smedira NG, et al. Ventricular septal rupture complicating acute myocardial infarction: a contemporary review. Eur Heart J. 2014. Aug 14;35(31):2060-8. doi: 10.1093/eurheartj/ehu248 - DOI - PubMed
    1. Damluji AA, van Diepen S, Katz JN, et al. Mechanical Complications of Acute Myocardial Infarction: A Scientific Statement From the American Heart Association. Circulation. 2021. Jul 13;144(2):e16-e35. doi: 10.1161/CIR.0000000000000985 - DOI - PMC - PubMed
    1. Elkattawy S, Alyacoub R, Noori MA, Talpur A, Khimani K. A Rare Complication of Myocardial Infarction: Ventricular Septal Defect. Cureus. 2020. Aug 13;12(8):e9725. doi: 10.7759/cureus.9725 - DOI - PMC - PubMed

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