Abstract
Key Clinical MessageMechanical complications of acute myocardial infarction include ventricular septal rupture (VSR), free wall rupture, and ischemic mitral regurgitation. Postinfarction VSR is a rare but serious complication of myocardial infarction. VSR has a lower incidence in the era of new reperfusion therapies. However, clinicians should be aware of this potentially fatal complication as the mortality remains extremely high. Early diagnosis and treatment are the cornerstones of achieving a better outcome.
Highlights
A 73‐year‐old man with medical history of hypertension and diabetes mellitus presented to the emergency department of our hospital complaining of fatigue and dizziness
The heart team recommended coronary artery bypass grafting surgery, so the patient was admitted to the intensive care unit with the diagnosis of subacute inferior myocardial infarction
The factors that have been associated with ventricular septal rupture (VSR) are advanced age, anterior myocardial infarction, female gender, and lack of smoking history.[3]
Summary
Ventricular septal rupture following myocardial infarction: A potentially fatal complication. Key Clinical Message Mechanical complications of acute myocardial infarction include ventricular septal rupture (VSR), free wall rupture, and ischemic mitral regurgitation. A 73‐year‐old man with medical history of hypertension and diabetes mellitus presented to the emergency department of our hospital complaining of fatigue and dizziness He reported having an episode of epigastric pain of two‐ hour duration a week ago. The heart team recommended coronary artery bypass grafting surgery, so the patient was admitted to the intensive care unit with the diagnosis of subacute inferior myocardial infarction. He remained asymptomatic and hemodynamically stable during the first two days of hospitalization, with myocardial damage enzymes following a downward trend.
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