EJMCR |

Case Report

Volume: 4 | Issue: 10 | Published: Oct 28, 2020 | Pages: 332 - 335 | DOI: 10.24911/ejmcr/173-1571084941

A case of post-myocardial infarction ventricular septal rupture in an asymptomatic inferior STEMI

Authors: Matilde Conti , Enrico Rino Bregani , Mariairene Benedusi

Article Info

Authors

Matilde Conti

Scuola di Specializzazione in Medicina di Emergenza-Urgenza, Università degli Studi di Milano Bicocca, Milano, Italy

Enrico Rino Bregani

U.O.C. di Medicina Generale, Emostasi e Trombosi, Fondazione IRCCS Ca&apos; Granda Ospedale Maggiore Policlinico, Milano, Italy

Mariairene Benedusi

Scuola di Specialzzazione in Medicina di Emergenza-Urgenza, Università degli studi di Milano, Milano, Italy

Publication History

Received: October 16, 2019

Revised: June 20, 2020

Accepted: June 24, 2020

Published: October 28, 2020

Abstract

Background: Post-ischemic ventricular rupture is a rare late complication of acute myocardial infarction and despite improvements in diagnosis, in medical and surgical treatment; it is still associated with a high mortality rate. Case Presentation: We present a case of septal rupture in a patient with an asymptomatic inferior STEMI, whose clinical examination was significant only for a systolic heart murmur. Diagnosis was made in the Emergency Department, about 6 hours from triage and about 1 hour from first medical evaluation. A multidisciplinary team managed the patient, who underwent an emercency PCI and reperfusion and then a late surgery at day 8 from diagnosis. Conclusion: Although it is a rare event, septal rupture is a life-threatening event and should be suspected in patients with myocardial infarction when a rapid hemodynamic deterioration, heart murmur, or right ventricle overload is observed. Bedside echocardiography allows early diagnosis and the management of the patient.

Keywords: Acute myocardial infarction, post-ischemic ventricular rupture, heart murmur, cardiothoracic surgery, emergency PCI, echocardiography, case report, green

Pubmed Style

Matilde Conti, Enrico Rino Bregani, Mariairene Benedusi. A case of post-myocardial infarction ventricular septal rupture in an asymptomatic inferior STEMI. EJMCR. 2020; 28 (October 2020): 332-335. doi:10.24911/ejmcr/173-1571084941

Web Style

Matilde Conti, Enrico Rino Bregani, Mariairene Benedusi. A case of post-myocardial infarction ventricular septal rupture in an asymptomatic inferior STEMI. https://ejmcr.com/articles/1381 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1571084941

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Matilde Conti, Enrico Rino Bregani, Mariairene Benedusi. A case of post-myocardial infarction ventricular septal rupture in an asymptomatic inferior STEMI. EJMCR. (2020), [cited December 25, 2024]; 28 (October 2020): 332-335. doi:10.24911/ejmcr/173-1571084941

Harvard Style

Matilde Conti, Enrico Rino Bregani, Mariairene Benedusi (2020) A case of post-myocardial infarction ventricular septal rupture in an asymptomatic inferior STEMI. EJMCR, 28 (October 2020): 332-335. doi:10.24911/ejmcr/173-1571084941

Chicago Style

Matilde Conti, Enrico Rino Bregani, Mariairene Benedusi. "A case of post-myocardial infarction ventricular septal rupture in an asymptomatic inferior STEMI." 28 (2020), 332-335. doi:10.24911/ejmcr/173-1571084941

MLA (The Modern Language Association) Style

Matilde Conti, Enrico Rino Bregani, Mariairene Benedusi. "A case of post-myocardial infarction ventricular septal rupture in an asymptomatic inferior STEMI." 28.October 2020 (2020), 332-335. Print. doi:10.24911/ejmcr/173-1571084941

APA (American Psychological Association) Style

Matilde Conti, Enrico Rino Bregani, Mariairene Benedusi (2020) A case of post-myocardial infarction ventricular septal rupture in an asymptomatic inferior STEMI. , 28 (October 2020), 332-335. doi:10.24911/ejmcr/173-1571084941