Ventricular Septal Dissection Complicating Inferior Wall Myocardial Infarction

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 percutane...

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Main Authors: Lindsey Kalvin, Rayan Yousefzai, Bijoy K. Khandheria, Timothy E. Paterick, Khawaja Afzal Ammar
Format: Article
Language:English
Published: Hindawi Limited 2017-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2017/9680891
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spelling doaj-8181d4bf02e542d281308fcf7ab3a6842020-11-24T22:26:04ZengHindawi LimitedCase Reports in Cardiology2090-64042090-64122017-01-01201710.1155/2017/96808919680891Ventricular Septal Dissection Complicating Inferior Wall Myocardial InfarctionLindsey Kalvin0Rayan Yousefzai1Bijoy K. Khandheria2Timothy E. Paterick3Khawaja Afzal Ammar4Aurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke’s Medical Centers, 2801 W. Kinnickinnic River Parkway, Milwaukee, WI, USAAurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke’s Medical Centers, 2801 W. Kinnickinnic River Parkway, Milwaukee, WI, USAAurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke’s Medical Centers, 2801 W. Kinnickinnic River Parkway, Milwaukee, WI, USAAurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke’s Medical Centers, 2801 W. Kinnickinnic River Parkway, Milwaukee, WI, USAAurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke’s Medical Centers, 2801 W. Kinnickinnic River Parkway, Milwaukee, WI, USAPostmyocardial 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.http://dx.doi.org/10.1155/2017/9680891
collection DOAJ
language English
format Article
sources DOAJ
author Lindsey Kalvin
Rayan Yousefzai
Bijoy K. Khandheria
Timothy E. Paterick
Khawaja Afzal Ammar
spellingShingle Lindsey Kalvin
Rayan Yousefzai
Bijoy K. Khandheria
Timothy E. Paterick
Khawaja Afzal Ammar
Ventricular Septal Dissection Complicating Inferior Wall Myocardial Infarction
Case Reports in Cardiology
author_facet Lindsey Kalvin
Rayan Yousefzai
Bijoy K. Khandheria
Timothy E. Paterick
Khawaja Afzal Ammar
author_sort Lindsey Kalvin
title Ventricular Septal Dissection Complicating Inferior Wall Myocardial Infarction
title_short Ventricular Septal Dissection Complicating Inferior Wall Myocardial Infarction
title_full Ventricular Septal Dissection Complicating Inferior Wall Myocardial Infarction
title_fullStr Ventricular Septal Dissection Complicating Inferior Wall Myocardial Infarction
title_full_unstemmed Ventricular Septal Dissection Complicating Inferior Wall Myocardial Infarction
title_sort ventricular septal dissection complicating inferior wall myocardial infarction
publisher Hindawi Limited
series Case Reports in Cardiology
issn 2090-6404
2090-6412
publishDate 2017-01-01
description 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.
url http://dx.doi.org/10.1155/2017/9680891
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AT bijoykkhandheria ventricularseptaldissectioncomplicatinginferiorwallmyocardialinfarction
AT timothyepaterick ventricularseptaldissectioncomplicatinginferiorwallmyocardialinfarction
AT khawajaafzalammar ventricularseptaldissectioncomplicatinginferiorwallmyocardialinfarction
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