title: Ventricular Septal Dissection Complicating Inferior Wall Myocardial Infarction.
abstract: Postmyocardial infarction ventricular septal defect is an increasingly rare mechanical complication of acute myocardial infarction. We present a case of acute myocardial infarction from right coronary artery occlusion that developed hypotension and systolic murmur 12 hours after successful percutaneous coronary intervention. Although preoperative imaging suggested a large ventricular septal defect and a pseudoaneurysm, intraoperative findings concluded a serpiginous dissection of the ventricular septum. The imaging technicalities are discussed.
authors.affiliation: Aurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke's Medical Centers, 2801 W. Kinnickinnic River Parkway, Milwaukee, WI, USA.
authors.forename: Lindsey
authors.initials: L
authors.lastname: Kalvin
authors.affiliation: Aurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke's Medical Centers, 2801 W. Kinnickinnic River Parkway, Milwaukee, WI, USA.
authors.forename: Rayan
authors.initials: R
authors.lastname: Yousefzai
authors.affiliation: Aurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke's Medical Centers, 2801 W. Kinnickinnic River Parkway, Milwaukee, WI, USA.
authors.forename: Bijoy K
authors.initials: BK
authors.lastname: Khandheria
authors.affiliation: Aurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke's Medical Centers, 2801 W. Kinnickinnic River Parkway, Milwaukee, WI, USA.
authors.forename: Timothy E
authors.initials: TE
authors.lastname: Paterick
authors.affiliation: Aurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke's Medical Centers, 2801 W. Kinnickinnic River Parkway, Milwaukee, WI, USA.
authors.forename: Khawaja Afzal
authors.identifier: 0000-0001-7216-7051
authors.initials: KA
authors.lastname: Ammar