Case of ventricular septal rupture following acute myocardial infarction.

Ultrasound

School of Environment and Science, Griffith University, Brisbane, Australia.

Published: August 2020

AI Article Synopsis

  • Ventricular septal rupture is a serious complication that can occur after a heart attack, often leading to severe consequences.
  • A 77-year-old man was found to have signs of heart failure and a significant heart murmur; ultrasounds confirmed both a heart attack and a suspected rupture.
  • Early use of echocardiography played a crucial role in diagnosing the rupture, allowing for timely surgical repair and better outcomes for the patient.

Article Abstract

Ventricular septal rupture is a rare and potentially fatal complication of transmural myocardial infarction. Early identification utilising transthoracic echocardiography significantly improves long term outcomes in these patients. We report on a case of a 77-year-old male who presented with signs and symptoms of cardiac failure and a loud systolic murmur. The patient underwent an initial point-of-care ultrasound which revealed evidence of a transmural myocardial infarction and a high suspicion of an apical ventricular septal rupture. A complete transthoracic echocardiogram confirmed the septal rupture diagnosis and the patient subsequently underwent surgical repair of the ventricular rupture. This case highlights the role of echocardiography in decreasing adverse outcomes in patients with ventricular septal rupture.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7412945PMC
http://dx.doi.org/10.1177/1742271X20901850DOI Listing

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