Ventricular septal rupture masquerading as coronary perforation during intervention for acute myocardial infarction.
Ventricular septal rupture is a serious complication of acute myocardial infarction. We experienced a case of septal rupture immediately after primary angioplasty with thrombolysis, whose angiographic findings were similar to those of coronary perforation. The progression of septal rupture was delineated by the serial angiograms.
Cardiopumonary Division, Department of Medicine, Keio University School of Medicine, Tokyo, Japan. akiok@wg8.so-net.ne.jp
Akio
A
Kawamura
Yasushi
Y
Asakura
Hankei
H
Shin
Teruo
T
Okabe
Akiko
A
Yamane
Satoshi
S
Ogawa
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D006348:Cardiac Surgical Procedures; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000293:injuries / Q000473:pathology*; D003937:Diagnosis, Differential; D006335:Heart Injuries / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000188:drug therapy / Q000628:therapy; D015912:Thrombolytic Therapy; D016896:Treatment Outcome; D018658:Ventricular Septal Rupture / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D054088:Ventricular Septum / Q000000981:diagnostic imaging* / Q000601:surgery