[Ventricular septal rupture complicating surgically treated left ventricular free wall rupture in a patient with acute myocardial infarction. A case report].
There is a group of rare but serious complications of acute myocardial infarction (AMI), including free wall rupture (FWR) and, less frequent, ventricular septal rupture (VSR). Urgent surgery combined with simultaneous CABG is usually a treatment of choice. We present a case of a 65-year-old male with AMI, who developed cardiogenic shock due to cardiac tamponade as a result of FWR. The patient was successfully resuscitated and operated. During postoperative treatment parasternal systolic murmur was audible and VSR diagnosis was confirmed. Three months after AMI the AMPLAZER Muscular VSD Occluder was successfully implanted. The follow-up period was uneventful.
Tuchacz
Szymon
S
I Klinika Chorób Serca, Instytut Kardiologii, Akademia Medyczna, ul. Debinki 7, 80-211 Gdańsk. szymon.t@amg.gda.pl
Pawlaczyk
Rafał
R
Sabiniewicz
Robert
R
Ciećwierz
Dariusz
D
Curyłło
Bartosz
B
Gruchała
Marcin
M
Koprowski
Andrzej
A
Frankiewicz
Anna
A
Rogowski
Jan
J
Rynkiewicz
Andrzej
A
D000368:Aged; D006348:Cardiac Surgical Procedures; D017023:Coronary Angiography; D006342:Heart Rupture, Post-Infarction / Q000209:etiology / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D012086:Reoperation; D012307:Risk Factors; D016896:Treatment Outcome; D018658:Ventricular Septal Rupture / Q000209:etiology* / Q000601:surgery