Hemodynamic complications of ventricular septal rupture after acute myocardial infarction.
Ventricular septal rupture (VSR) is a rare but serious complication following acute myocardial infarction (MI). Patients may present with a new murmur associated with a thrill. Right heart catheterization will demonstrate elevated right atrial and pulmonary artery pressures as well as an oxygen step-up at the right ventricular level. Patients with a right ventricular infarction or cardiogenic shock and a ventricular septal rupture have high in-hospital mortality rates. Prompt diagnosis followed by surgical repair is essential for patients with VSR following MI.
Sasseen
Brett M
BM
University of Florida Health Science Center, Jacksonville, Florida 32209, USA. brett.sasseen@jax.ufl.edu
Gigliotti
Osvaldo S
OS
Lavine
Steven
S
Gilmore
Paul S
PS
Percy
Robert
R
Bass
Theodore A
TA
D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D018658:Ventricular Septal Rupture / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology*