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Hemodynamic complications of ventricular septal rupture after acute myocardial infarction
Author(s) -
Sasseen Brett M.,
Gigliotti Osvaldo S.,
Lavine Steven,
Gilmore Paul S.,
Percy Robert,
Bass Theodore A.
Publication year - 2003
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.10696
Subject(s) - medicine , cardiology , myocardial infarction , hemodynamics , heart rupture , cardiac rupture
Ventricular septal rupture (VSR) is a rare but serious complication following acute myocardial infarction (MI). Patients may present with a new murmur associated with a thrill. Right heart catheterization will demonstrate elevated right atrial and pulmonary artery pressures as well as an oxygen step‐up at the right ventricular level. Patients with a right ventricular infarction or cardiogenic shock and a ventricular septal rupture have high in‐hospital mortality rates. Prompt diagnosis followed by surgical repair is essential for patients with VSR following MI. Catheter Cardiovasc Interv 2003;60:509–514. © 2003 Wiley‐Liss, Inc.