AI Article Synopsis
- Acute myocardial infarction can lead to rare but serious mechanical complications, particularly ventricular septal rupture (VSR) and left ventricular aneurysm (LVA), which pose significant risks to patient survival.
- A case study of a 67-year-old man illustrates the simultaneous occurrence of apical LVA and VSR following a heart attack.
- Timely diagnosis using echocardiography and left ventriculography is essential, as VSR typically requires immediate surgical intervention, while LVA surgery is considered only in specific scenarios, like persistent chest pain.
Article Abstract
Unlabelled: Acute myocardial infarction can result in various mechanical complications, although they have become rare with the advent of reperfusion therapies. Among these complications, ventricular septal rupture (VSR) and left ventricular aneurysm (LVA) are infrequent but life-threatening conditions associated with high morbidity and mortality. We present a rare case of a 67-year-old male with acute myocardial infarction who developed concomitant apical LVA and ventricular septal rupture.
Learning Points: Mechanical complications of myocardial infarction, such as a ventricular septal rupture (VSR) and left ventricular aneurysm (LVA), are rare but life-threatening.Early diagnosis is critical. A ventricular septal defect (VSD) requires immediate surgical closure, while surgery for LVA is only considered in specific cases such as chest pain or thromboembolism.Diagnostic tools such as echocardiography and left ventriculography play a vital role in identifying and characterising these complications, enabling timely treatment decisions.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10917411 | PMC |
| http://dx.doi.org/10.12890/2024_004145 | DOI Listing |
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