Double ventricular rupture after acute myocardial infarction: A rare case report

Abstract A previously asymptomatic 53-year-old male presented 5 days after an acute anterior wall myocardial infarction, who was fibrinolytic naïve, with worsening dyspnea. Transthoracic echocardiographic evaluation revealed rupture of the interventricular septum and pseudoaneurysm of the left ventr...

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Published in:	Indian heart journal Vol. 67; no. Suppl 3; pp. S21 - S23
Main Authors:	Shreetal, Rajan Nair, Sajeer, Kalathingathodika, Sandeep, Rajasekharan, Rajesh, Gopalan Nair, Haridasan, Vellani, Sadanadan, Rajesh, Kuriakose, K.M, Narayanan Krishnan, Mangalath
Format:	Journal Article
Language:	English
Published:	India Elsevier B.V 01-12-2015 Elsevier
Subjects:	Aneurysm, False - diagnostic imaging Aneurysm, False - etiology Aneurysm, False - surgery Cardiovascular Case Report Coronary Angiography Diagnosis, Differential Double mechanical rupture Echocardiography Electrocardiography Free-wall rupture Heart Ventricles Humans Male Middle Aged Myocardial infarction Myocardial Infarction - complications Ventricular septal rupture Ventricular Septal Rupture - diagnostic imaging Ventricular Septal Rupture - etiology Ventricular Septal Rupture - surgery Myocardial infarction Ventricular septal rupture Double mechanical rupture Free-wall rupture
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Summary:	Abstract A previously asymptomatic 53-year-old male presented 5 days after an acute anterior wall myocardial infarction, who was fibrinolytic naïve, with worsening dyspnea. Transthoracic echocardiographic evaluation revealed rupture of the interventricular septum and pseudoaneurysm of the left ventricle, confirmed by angiography. Coronary angiogram revealed multivessel disease. The patient underwent successful closure of ventricular septal rupture with repair of pseudoaneurysm and saphenous vein grafts to posterior descending branch of right coronary artery and obtuse marginal branch of left circumflex artery. Double ventricular ruptures following acute myocardial infarction are very rare with a reported incidence of 0.3% from various series in the revascularization era. They are also associated with exceedingly high mortality rates reaching up to 50%, even when intervened emergently.
Bibliography:	ObjectType-Case Study-3 SourceType-Scholarly Journals-1 content type line 23 ObjectType-Feature-5 ObjectType-Undefined-1 ObjectType-Report-2 ObjectType-Article-4
ISSN:	0019-4832
DOI:	10.1016/j.ihj.2015.06.020