title: Post-infarction biventricular free wall rupture with extracardiac shunt presenting as ventricular septal rupture.
abstract: Ventricular free wall rupture is a rare, usually fatal complication of acute myocardial infarction. Subacute free wall rupture with pseudoaneurysm formation is even rarer, but may be associated with a chance of survival if surgery is performed expeditiously. Although rupture of the left ventricle is more common, right-sided rupture has also been reported. We report an unusual case of post-infarct biventricular rupture masquerading as a ventricular septal defect, due to an extracardiac shunt within the pseudoaneurysm. Our patient underwent urgent surgery, made an excellent recovery and was discharged home in a fully functional condition within a week post-surgery.
authors.affiliation: Department of Cardiothoracic Surgery, Papworth Hospital, Cambridge, UK.
authors.forename: Alia
authors.initials: A
authors.lastname: Noorani
authors.forename: Christiana
authors.initials: C
authors.lastname: Burt
authors.forename: Samer A M
authors.initials: SA
authors.lastname: Nashef
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D006348:Cardiac Surgical Procedures; D003326:Coronary Circulation; D003937:Diagnosis, Differential; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005260:Female; D006322:Heart Aneurysm / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D006342:Heart Rupture, Post-Infarction / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D011237:Predictive Value of Tests; D016896:Treatment Outcome; D018658:Ventricular Septal Rupture / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology
keywords: Cardiac; Myocardial infarction; Shunt (extracardiac); Surgery