Post-infarct ventricular septal defect following thrombolytic intracranial bleed.
Mechanical complications after myocardial infarction are uncommon with advances in medical reperfusion strategies. However, such strategies are associated with bleeding complications which typically contraindicate surgical management. We describe a patient with a post-infarction ventricular septal defect and an intraventricular hemorrhage following thrombolytic therapy for an acute myocardial infarction.
Firstenberg
Michael S
MS
Division of Cardiothoracic Surgery, The Ohio State University Medical Center, Columbus, OH 43210, USA. Michael.Firstenberg@osumc.edu
Blais
Danielle
D
Rea
Gary
G
Bush
Charles A
CA
D000368:Aged; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D005260:Female; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D020300:Intracranial Hemorrhages / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000601:surgery; D009203:Myocardial Infarction / Q000150:complications / Q000628:therapy*; D015912:Thrombolytic Therapy / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018658:Ventricular Septal Rupture / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014696:Ventriculostomy; D028761:Withholding Treatment