A Case of Post-Myocardial Infarction Ventricular Septal Rupture Complicated by Postoperative Septal Rupture

Kara F Morton; Usman A Hasnie; Darryl Prime; Sasha A Still; Samuel McElwee

doi:10.1016/j.jaccas.2023.101996

A Case of Post-Myocardial Infarction Ventricular Septal Rupture Complicated by Postoperative Septal Rupture

JACC Case Rep. 2023 Aug 22:22:101996. doi: 10.1016/j.jaccas.2023.101996. eCollection 2023 Sep 20.

Authors

Kara F Morton¹, Usman A Hasnie², Darryl Prime², Sasha A Still³, Samuel McElwee²

Affiliations

¹ Department of Medicine, Heersink School of Medicine at the University of Alabama at Birmingham, Birmingham, Alabama, USA.
² Division of Cardiovascular Disease, Heersink School of Medicine at the University of Alabama at Birmingham, Birmingham, Alabama, USA.
³ Division of Cardiothoracic Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Abstract

We present the case of a 60-year-old man who presented with a post-myocardial infarction ventricular septal rupture caused by a delayed presentation of myocardial infarction. Despite revascularization, hemodynamic stability, and a 10-day delay until operative management to allow for tissue healing, the patient experienced a fatal recurrent postoperative ventricular septal rupture. (Level of Difficulty: Beginner.).

Keywords: cardiogenic shock; coronary interventions; mechanical complications; myocardial infarction; noncoronary interventions; ventricular septal rupture.

Publication types

Case Reports