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

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,...

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Main Authors: Kara F. Morton, MD, Usman A. Hasnie, MD, Darryl Prime, MD, Sasha A. Still, MD, Samuel McElwee, MD
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:JACC: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084923003248
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author Kara F. Morton, MD
Usman A. Hasnie, MD
Darryl Prime, MD
Sasha A. Still, MD
Samuel McElwee, MD
author_facet Kara F. Morton, MD
Usman A. Hasnie, MD
Darryl Prime, MD
Sasha A. Still, MD
Samuel McElwee, MD
author_sort Kara F. Morton, MD
collection DOAJ
description 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.)
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spelling doaj.art-0a4c7d7de9e54efc8213a066f5c223e52023-08-23T04:34:14ZengElsevierJACC: Case Reports2666-08492023-09-0122101996A Case of Post-Myocardial Infarction Ventricular Septal Rupture Complicated by Postoperative Septal RuptureKara F. Morton, MD0Usman A. Hasnie, MD1Darryl Prime, MD2Sasha A. Still, MD3Samuel McElwee, MD4Department of Medicine, Heersink School of Medicine at the University of Alabama at Birmingham, Birmingham, Alabama, USA; Address for correspondence: Dr Kara Morton, Tinsley Harrison Internal Medicine Residency Program BDB 327, 1720 2nd Avenue South, Birmingham, Alabama 35294-0012, USA.Division of Cardiovascular Disease, Heersink School of Medicine at the University of Alabama at Birmingham, Birmingham, Alabama, USADivision of Cardiovascular Disease, Heersink School of Medicine at the University of Alabama at Birmingham, Birmingham, Alabama, USADivision of Cardiothoracic Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USADivision of Cardiovascular Disease, Heersink School of Medicine at the University of Alabama at Birmingham, Birmingham, Alabama, USAWe 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.)http://www.sciencedirect.com/science/article/pii/S2666084923003248cardiogenic shockcoronary interventionsmechanical complicationsmyocardial infarctionnoncoronary interventionsventricular septal rupture
spellingShingle Kara F. Morton, MD
Usman A. Hasnie, MD
Darryl Prime, MD
Sasha A. Still, MD
Samuel McElwee, MD
A Case of Post-Myocardial Infarction Ventricular Septal Rupture Complicated by Postoperative Septal Rupture
JACC: Case Reports
cardiogenic shock
coronary interventions
mechanical complications
myocardial infarction
noncoronary interventions
ventricular septal rupture
title A Case of Post-Myocardial Infarction Ventricular Septal Rupture Complicated by Postoperative Septal Rupture
title_full A Case of Post-Myocardial Infarction Ventricular Septal Rupture Complicated by Postoperative Septal Rupture
title_fullStr A Case of Post-Myocardial Infarction Ventricular Septal Rupture Complicated by Postoperative Septal Rupture
title_full_unstemmed A Case of Post-Myocardial Infarction Ventricular Septal Rupture Complicated by Postoperative Septal Rupture
title_short A Case of Post-Myocardial Infarction Ventricular Septal Rupture Complicated by Postoperative Septal Rupture
title_sort case of post myocardial infarction ventricular septal rupture complicated by postoperative septal rupture
topic cardiogenic shock
coronary interventions
mechanical complications
myocardial infarction
noncoronary interventions
ventricular septal rupture
url http://www.sciencedirect.com/science/article/pii/S2666084923003248
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