[Double post-acute myocardial infarction complication: rupture of the interventricular septum and acute mitral insufficiency].
We present a case of double post acute myocardial infarction complication: ventricular septal defect and acute and severe mitral insufficiency. As a consequence of the delay in the diagnosis, the patient developed pulmonary hypertension with values at the systemic level. The patient underwent surgery in order to close the ventricular septal defect and aneurysmectomy, resulting in posterior regression of mitral insufficiency and pulmonary circuit values became normal. The ethology, diagnosis, evolution and treatment of this exceptional association of acute post myocardial infarction complications are discussed.
Curcio Ruigómez
A
A
Servicio de Cardiología, Centro de Instrucción de Medicina Aeroespacial (CIMA), Madrid.
Martín Jiménez
J
J
Wilhelmi Ayza
M
M
Soria Delgado
J L
JL
D000208:Acute Disease; D006328:Cardiac Catheterization; D004452:Echocardiography; D018618:Echocardiography, Doppler, Color; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000150:complications* / Q000209:etiology; D009203:Myocardial Infarction / Q000150:complications*; D018658:Ventricular Septal Rupture / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery
Doble complicación postinfarto agudo de miocardio: rotura del septo interventricular e insuficiencia mitral aguda.