title: [Ventricular septal rupture complicating surgically treated left ventricular free wall rupture in a patient with acute myocardial infarction. A case report].
abstract: 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.
authors.affiliation: I Klinika Chorób Serca, Instytut Kardiologii, Akademia Medyczna, ul. Debinki 7, 80-211 Gdańsk. szymon.t@amg.gda.pl
authors.forename: Szymon
authors.initials: S
authors.lastname: Tuchacz
authors.forename: Rafał
authors.initials: R
authors.lastname: Pawlaczyk
authors.forename: Robert
authors.initials: R
authors.lastname: Sabiniewicz
authors.forename: Dariusz
authors.initials: D
authors.lastname: Ciećwierz
authors.forename: Bartosz
authors.initials: B
authors.lastname: Curyłło
authors.forename: Marcin
authors.initials: M
authors.lastname: Gruchała
authors.forename: Andrzej
authors.initials: A
authors.lastname: Koprowski
authors.forename: Anna
authors.initials: A
authors.lastname: Frankiewicz
authors.forename: Jan
authors.initials: J
authors.lastname: Rogowski
authors.forename: Andrzej
authors.initials: A
authors.lastname: Rynkiewicz
mesh_terms: 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