Clinical case of ventricular septal rupture in patient with acute myocardial infarction

Authors

  • V. D. Syvolap Zaporizhzhia State Medical University,
  • O. V. Nazarenko Zaporizhzhia State Medical University,
  • Ya. V. Zemlyaniy Zaporizhzhia State Medical University,

DOI:

https://doi.org/10.14739/2310-1210.2017.2.95750

Keywords:

clinical case, acute myocardial infarction, ventricular septal rupture

Abstract

This article describes ventricular septal rupture in the acute phase of myocardial infarction after thrombolytic therapy. The peculiarity of this case is the lack of patient expressed pain and minimal manifestations of heart failure on the background specific to ventricular septal rupture ECG changes and echocardiographic data. To analyze the main factors giving the opportunity to assess the risk of this complication in patients with acute myocardial infarction. The clinical case demonstrates the success of the conservative management of patient with acute myocardial infarction complicated by early ventricular septal rupture.

References

(2015) Vsemirnaya organizaciya zdravookhraneniya. Serdechno-sosudistye zabolevaniya. Informacionnyj byulleten', 317. Retrieved from http://www.who.int/mediacentre/factsheets/fs317/ru/. [in Russian].

Kopytsya, N. P., Abolmasov, A. N., Lytvyn, E. I., & Sakal, V. V. (2013) Mekhanicheskie oslozhneniya ostrogo infarkta miokarda [Mechanical complications of acute myocardial infarction]. Ukrainskij terapevticheskij zhurnal, 1, 108–113. [in Ukrainian].

Ursulenko, V. I., Rudenko, A. V., Zakharova, V. P., Beregovyi, A. A., Panichkin, Yu. V., Jacob, L. V., et al. (2014) Postinfarktnyj razryv mezhzheludochkovoj peregorodki: chastota razvitiya, rezul'taty khirurgicheskogo lecheniya [Postinfarction interventricular septum ruptures: incidence and results of surgical treatment]. Sertse і sudyny, 2, 16–27. [in Ukrainian].

Parkhomenko, A. N., Irkin, O. I., Lutaj, Ya. M., Vovchenko, V. E., & Kushnir, S. P. (2014) Sluchaj uspeshnoj diagnostiki i lecheniya psevdoanevrizmy levogo zheludochka pri ostrom infarkte miokarda [The case of successful diagnosis and treatment of left ventricular pseudoaneurysm in acute myocardial infarction]. Medicina neotlozhnyh sostoyanij, 3(58), 97–100. [in Ukrainian].

Manea, P., Ghiuru, R., Cociorvă, F., Balasanian, M., & Tinică, G. (2013) A favorable outcome of a post-myocardial infarction ventricular septal rupture. Anadolu Kardiyol Derg, 13(4), 396–398. doi: 10.5152/akd.2013.117. •

Crenshaw, B. S., Granger, C. B., Birnbaum, Y., Pieper, K. S., Morris, D. C., Kleiman, N. S., et al. (2000) Risk factors, angiographic patterns, and outcomes in patients with ventricular septal defect complicating acute myocardial infarction. GUSTO-I (Global Utilization of Streptokinase and TPA for Occluded Coronary Arteries) Trial Investigators. Circulation, 101(1), 27–32. doi: https://doi.org/10.1161/01.CIR.101.1.27.

Menon, V., Webb, J. G., Hillis, L. D., Sleeper, L.A., Abboud, R., Dzavik, V., et al. (2000) Investigators outcome and profile of ventricular septal rupture with cardiogenic shock after myocardial infarction. A report from the SHOCK Trial Registry. J Am Coll Cardiol, 36, 1110–1116. doi: 10.1016/S0735-1097(00)00878-0.

Figuras J., Alcalde O., Barrabes J.A., Serra, V., Alguersuari, J., Cortadellas, J., & Lidón, R. M. (2008) Changed in hospital mortality rates in 425 patients with acute ST-elevation myocardial infarction and cardiac rupture over a 30-years period. Circulation, 118, 2783–2789. doi: 10.1161/CIRCULATIONAHA.108.776690.

Prêtre, R., Rickli, H., Ye, Q., Benedikt, P., & Turina, M. I. (2000) Frequency of collateral blood flow in the infarct-related coronary artery in rupture of the ventricular septum after acute myocardial infarction. Am J Cardiol, 85(4), 497–499. doi: http://dx.doi.org/10.1016/S0002-9149(99)00780-8.

Moreno, R., Lopez-Sendon, J., Garcia, E., Perez de Isla, L., Lopez de, S. E., Ortega, A., et al. (2002) Primary angioplasty reduces the risk of left ventricular free wall rupture compared with thrombolysis in patients with acute myocardial infarction. J Am Coll Cardiol, 39, 598–603. doi: 10.1016/S0735-1097(01)01796-X.

Moreyra, A. E., Huang, M. S., Wilson, A. C., Deng, Y., Cosgrove, N. M., & Kostis, J. B. (2010) Trends in incidence and mortality rates of ventricular septal rupture during acute myocardial infarction. Am J Cardiol, 106, 1095–1100. doi: 10.1016/j.amjcard.2010.06.013.

Wehrens, X. H. T., & Doevendans, P. A. (2004) Cardiac rupture complicating myocardial infarction. Int. J. Cardiol, 95(2–3), 285–292. doi: 10.1016/j.ijcard.2003.06.006.

How to Cite

1.
Syvolap VD, Nazarenko OV, Zemlyaniy YV. Clinical case of ventricular septal rupture in patient with acute myocardial infarction. Zaporozhye medical journal [Internet]. 2017Mar.14 [cited 2024Mar.29];(2). Available from: http://zmj.zsmu.edu.ua/article/view/95750

Issue

Section

Practical observations