Hemodynamic complications of ventricular septal rupture after acute myocardial infarction | Zendy

Sasseen Brett M. | Zendy; Gigliotti Osvaldo S. | Zendy; Lavine Steven | Zendy; Gilmore Paul S. | Zendy; Percy Robert | Zendy; Bass Theodore A. | Zendy

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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.

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