Delayed Presentation of a Post-infarction Ventricular Septal Rupture

Authors

Omair Ahmed, Henry Ford HealthFollow
Harjinder Singh, Henry Ford HealthFollow
Sakshi Bai, Henry Ford HealthFollow
Diva Maraj, Henry Ford HealthFollow
Muhammad Qureshi, Henry Ford HealthFollow
Elise Hawes, Henry Ford HealthFollow
Chidamber Alamelumangapuram, Henry Ford HealthFollow
Hussein Othman, Henry Ford HealthFollow

Recommended Citation

Ahmed O, Singh H, Bai S, Maraj D, Qureshi MA, Hawes E, Alamelumangapuram C, and Othman H. Delayed Presentation of a Post-infarction Ventricular Septal Rupture. J Investig Med High Impact Case Rep 2024; 12:23247096241262514.

Document Type

Article

Publication Date

1-1-2024

Publication Title

J Investig Med High Impact Case Rep

Abstract

Ventricular septal rupture, a formidable complication of acute myocardial infarction (AMI), is linked to significant morbidity and mortality. The clinical manifestation typically involves pronounced hemodynamic compromise necessitating prompt surgical intervention. This report outlines the case of a 60-year-old male presenting with acute heart failure 3 weeks post a presumed AMI. On evaluation, a substantial ventricular septal defect with left-to-right shunt was observed. The patient, although hemodynamically stable with mild symptoms, underwent surgical closure of the defect and coronary artery bypass graft for multivessel coronary artery disease. This case contributes to the literature on the delayed presentation of post-myocardial infarction (MI) ventricular septal rupture, a scenario deviating from the anticipated severe hemodynamic instability given the timing of the MI and the extent of the septal defect.

Medical Subject Headings

Humans; Male; Middle Aged; Ventricular Septal Rupture; Myocardial Infarction; Coronary Artery Bypass; Echocardiography; Heart Failure; Coronary Artery Disease

PubMed ID

38904301

Volume

12

First Page

23247096241262514

Last Page

23247096241262514