Acute myocardial infarction complicated with ventricular septal rupture and intracranial hemorrhage |
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| Authors: | Munevver Sari MD Gokhan Kahveci MD Alev Kilicgedik MD Mehmet Ayturk MD Selcuk Pala MD |
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| Affiliation: | Cardiology Department, University of Health Sciences, Kartal Kosuyolu Education and Research Hospital, Istanbul, Turkey |
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| Abstract: | Ventricular septal rupture (VSR) is a rare but fatal complication of acute myocardial infarction (AMI) with an associated mortality that ranges from 41% to 80%. The treatment consists of supplemental oxygenation, afterload reduction, intraaortic balloon pump, and surgical repair. In selected patients, extracorporeal membrane oxygenation (ECMO) and/or percutaneous closure of the defect can be considered if anatomically appropriate. Echocardiography evaluates the morphology and location of the defect, anatomical concerns for percutaneous closure, and accompanying pathologies. We present a 48‐year‐old man with inferior myocardial infarction and basal VSR who was not a candidate for percutaneous closure. Surgery was planned, but he died from extensive subarachnoid and intracranial hemorrhage. |
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| Keywords: | acute myocardial infarction ventricular septal rupture |
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