Myocardial infarction with aneurysm of interventricular septum and perforation.

Abstract

Myocardial infarction followed by perforation of the interventricular septum is a syndrome more commonly recognized now in view of the increasing number of reports of its occurrence appearing in the literature. However, it is uncommon to find portrayed in one case, the case reported below, the variations of pathology, anatomy, and physiology. It is for this purpose that the following report is made. It is noted below that diagnosis was made antemortem, immediately consequent to the acute onset of Bernheim's syndrome; that the patient subsequently survived for more than two months; that he developed a complete auriculoventricular block within a matter of hours after the perforation; that during the course of his illness he showed in succession the electrocardiogram pattern of an acute posterior myocardial infarction, five days later a two-to-one auriculoventricular block, two days later left ventricular hypertrophy pattern, and two months later a bigeminous rhythm; that the disease