Acute Myocardial Infarction Complicated With Ventricular Septal Rupture: Report of Three Cases

We reported three cases of ventricular septal rupture (VSR) complicating acute myocardial infarction (AMI), focusing on the causes, diagnosis, treatment and prevention. These three cases were diagnosed based on the findings of electrocardiogram, echocardiogram and blood myocardial markers, and were...

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Bibliographic Details
Published inCardiology research Vol. 4; no. 6; pp. 203 - 206
Main Authors Su, Wenrong, Wang, Shuguang, Wang, Jian, Zhang, Jungang, Chen, Yanbo, Wang, Guodong, Zhang, Aiyuan
Format Journal Article
LanguageEnglish
Published Canada Elmer Press 01.12.2013
Subjects
Case Report
Acute myocardial infarction
Ventricular septal rupture
Treatment
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Summary:We reported three cases of ventricular septal rupture (VSR) complicating acute myocardial infarction (AMI), focusing on the causes, diagnosis, treatment and prevention. These three cases were diagnosed based on the findings of electrocardiogram, echocardiogram and blood myocardial markers, and were treated with conservative methods. These three cases were female, and all had history of hypertension and/or diabetes mellitus. In one case with age over 70, AMI was related to percutaneous coronary intervention of left anterior descending branch, and the stenosis of LAD resulted in AMI and subsequently VSR occurred, the patient's condition worsened rapidly and the patient died after. Only one of the three cases survived the VSR. We concluded that the prognosis of VSR complicating AMI is associated with the causes, age, sex and comorbidities, and the prevention is critically important.
ISSN:1923-2829
1923-2837
DOI:10.4021/cr316e