Echocardiographic identification of ventricular septal rupture caused by acute stent thrombosis.
Coronary stenting is an increasingly common procedure. Complications are rare. However, when they do occur, they often require urgent invasive treatment. Investigations that are critical for establishing a diagnosis as well as such guide treatment as a detailed assessment of myocardial morphology and function using transthoracic echocardiography may be overlooked in the haste to treat the patient. We present a case report of subacute drug-eluting stent thrombosis in which a meticulous echocardiographic examination allowed the identification of a ventricular septal rupture, which ultimately modified treatment.
Department of Cardiology, Castle Hill Hospital, Cottingham Road, Cottingham, East Yorkshire, UK, HU16 5JQ.
Scot
S
Garg
Christos V
CV
Bourantas
Simon
S
Thackray
Mohamed F
MF
Alamgir
D000208:Acute Disease; D000368:Aged; D003328:Coronary Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging*; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D018618:Echocardiography, Doppler, Color / Q000379:methods; D005260:Female; D006801:Humans; D018658:Ventricular Septal Rupture / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery