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Complete Dissection of the Interventricular Septum Following Myocardial Infarction.

التفاصيل البيبلوغرافية
العنوان: Complete Dissection of the Interventricular Septum Following Myocardial Infarction.
المؤلفون: Obagi A; Internal Medicine, Jersey Shore University Medical Center, Neptune, USA., Tadepalli S; Internal Medicine, Hackensack Meridian Health - Ocean Medical Center, Brick, USA., Reddy J; Internal Medicine, Hackensack Meridian Health - Ocean Medical Center, Brick, USA., Cheriyath P; Internal Medicine, Hackensack Meridian Health - Ocean Medical Center, Brick, USA., Okere A; Cardiology, Hackensack Meridian Health - Ocean Medical Center, Brick, USA.
المصدر: Cureus [Cureus] 2021 Jun 04; Vol. 13 (6), pp. e15443. Date of Electronic Publication: 2021 Jun 04 (Print Publication: 2021).
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: In this report, we present a case of interventricular septal dissection (IVSD) following inferior wall myocardial infarction (MI) in a 64-year-old patient; the patient ultimately recovered after prompt resuscitation and intervention, despite the high mortality associated with these cases. A 64-year-old male with a history of hypertension and obesity was brought to the hospital following an episode of syncope at home. He had been experiencing chest tightness over the past few days prior to the admission. On physical exam, he had a heart rate of 72 beats per minute and blood pressure of 73/52 mmHg. His electrocardiogram revealed ST-segment elevations in leads II, III, and aVF. Emergent coronary angiography revealed 100% occlusion of the right coronary artery (RCA) with no collateral supply and 95% stenosis of the left anterior descending (LAD) artery. Aspiration thrombectomy and balloon angioplasty and subsequent stenting of the RCA were performed. Transthoracic echocardiogram with color Doppler was performed, which confirmed the presence of a defect in the septum. Color Doppler demonstrated a clear jet entering the ventricular septum from the left ventricle (LV), with the jet traversing the entire length of the septum through a dissection and entering into the right ventricle (RV), consistent with complete IVSD. The patient subsequently underwent a successful bovine pericardial patch repair of the ventricular septum. IVSD is a rare anomaly of the IVS. An echocardiogram is a useful tool to establish the diagnosis. The mortality rate after ventricular septal rupture remains high. Fortunately, our patient had interventricular dissection without rupture. Prompt surgical repair remains the choice of treatment for this condition.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2021, Obagi et al.)
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فهرسة مساهمة: Keywords: acute cardiogenic pulmonary edema; left ventricular mechanical support; st-elevation myocardial infarction (stemi); ventricular septal defect (vsd); ventricular septal dissection
تواريخ الأحداث: Date Created: 20210714 Latest Revision: 20210715
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC8255049
DOI: 10.7759/cureus.15443
PMID: 34258112
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.15443