[Early interventricular septum rupture after systemic thrombolysis in a patient with STEMI].
Intraventricular septal rupture (ISR) is one of the most dreadful complications during AMI, requiring early diagnosis and urgent surgery. However, medical (90%) and surgical (50%) mortality remain elevated. We report a case of a 59 years old patient with infero-posterior AMI complicated by ISR after thrombolysis. Despite early recognition of this complication by trans-thoracic echocardiography at bedside and prompt surgical intervention the patient died on the second post-surgical day.
Maglione
Antonio
A
U.O.C. di Cardiologia, Fondazione Evangelica Betania, Napoli, Italy. maglion.ant@virgilio.it
Forni
Alberto
A
Liccardo
Biagio
B
Corrado
Luigi
L
De Gregorio
Paola
P
Cerino
Jolanda
J
Ferraro
Michelina
M
Pacileo
Mario
M
Esposito
Nicolino
N
D018618:Echocardiography, Doppler, Color; D017809:Fatal Outcome; D006329:Heart Conduction System / Q000503:physiopathology*; D006342:Heart Rupture, Post-Infarction / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D015912:Thrombolytic Therapy