Delayed ventricular septal rupture after percutaneous coronary intervention in acute myocardial infarction.
Korean J Intern Med
; 20(3): 243-6, 2005 Sep.
Article
em En
| MEDLINE
| ID: mdl-16295784
ABSTRACT
In the era before reperfusion therapy, ventricular septal rupture complicated 1approximate3% of acute myocardial infarctions (AMI) usually 3-5 days after onset. Studies have reported a positive correlation between the incidence of septal perforation and total occlusion of the coronary arteries. A 70-year old female patient was referred to the emergency room with the diagnosis of acute anterior myocardial infarction (MI) and recent cerebral infarction. The coronary angiogram showed a 90% stenosis at the mid-portion of the left anterior descending artery (LAD), and the lesion was successfully treated by percutaneous coronary intervention (PCI) with stent implantation. After PCI, the anterior wall motion improved on the follow-up echocardiogram. However, on the 20th hospital day, the patient condition deteriorated suddenly with pulmonary congestion. The echocardiography revealed a 1.3 cm ventricular septal defect at the apical septum with a left-to-right shunt. We report this rare case of delayed septal rupture in a patient with patent LAD after PCI and recovery of wall motion.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Ruptura do Septo Ventricular
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Septos Cardíacos
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Ventrículos do Coração
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Infarto do Miocárdio
Limite:
Aged
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Female
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Humans
Idioma:
En
Revista:
Korean J Intern Med
Assunto da revista:
MEDICINA INTERNA
Ano de publicação:
2005
Tipo de documento:
Article