Exceptional Ventricular Septal Rupture Associated with Intramyocardial Dissection Throughout the Right Ventricle

Ventricular septal rupture (VSR) is an uncommon but a devastating complication of acute myocardial infarction. Wide implementation of thrombolytic therapy in practice has limited the incidence of this complication and changed its time pattern by accelerating the occurrence. In the era of primary per...

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Published inEchocardiography (Mount Kisco, N.Y.) Vol. 27; no. 4; pp. 460 - 465
Main Authors Basarici, Ibrahim, Erbasan, Ozan, Kemaloglu, Didem, Arslan, Gokhan, Bayezid, Omer
Format Journal Article
LanguageEnglish
Published Malden, USA Blackwell Publishing Inc 01.04.2010
Subjects
Aged
Arteriovenous Shunt, Surgical - methods
Chest Pain - etiology
Coronary Artery Disease - complications
dissection
Dyspnea - etiology
Echocardiography - methods
Follow-Up Studies
Heart Ventricles - diagnostic imaging
Humans
Male
Myocardial Infarction - complications
myocardium
rupture
septum
shunt
Tomography, X-Ray Computed
transthoracic echocardiography
Ventricular Septal Rupture - complications
Ventricular Septal Rupture - diagnostic imaging
Ventricular Septal Rupture - surgery
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Summary:Ventricular septal rupture (VSR) is an uncommon but a devastating complication of acute myocardial infarction. Wide implementation of thrombolytic therapy in practice has limited the incidence of this complication and changed its time pattern by accelerating the occurrence. In the era of primary percutaneous coronary intervention, this beneficial effect is more pronounced. This paper describes a case with a complex VSR with intramyocardial dissection tract extending throughout the right ventricle and yielding a left to right shunt; where the potential role of ischemia was suspected, but the precise etiology of septal rupture remained ambiguous. (Echocardiography 2010;27:460‐465)
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ObjectType-Report-1
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ISSN:0742-2822
1540-8175
DOI:10.1111/j.1540-8175.2009.01112.x