An Undiagnosed Ventricular Septal Rupture Presenting as New Onset Heart Failure: A Rare Complication of an Anterior Myocardial Infarction

Methodist Debakey Cardiovasc J. 2022 Dec 5;18(1):113-116. doi: 10.14797/mdcvj.1157. eCollection 2022.

Abstract

Ventricular septal ruptures (VSR) are a rare but fatal complication of acute myocardial infarctions. We present a patient complaining of new onset heart failure symptoms that were found to be secondary to a new ventricular septal rupture from a recently undiagnosed anterior myocardial infarction. The patient underwent successful VSR patch repair with eventual recovery. This case highlights the importance of early diagnosis of VSR and reviews management options and appropriate timing for intervention.

Keywords: myocardial infarction; ventricular septal rupture.

Publication types

  • Case Reports

MeSH terms

  • Anterior Wall Myocardial Infarction* / complications
  • Anterior Wall Myocardial Infarction* / diagnostic imaging
  • Heart Failure* / diagnostic imaging
  • Heart Failure* / etiology
  • Heart Failure* / therapy
  • Humans
  • Myocardial Infarction* / complications
  • Myocardial Infarction* / diagnostic imaging
  • Ventricular Septal Rupture* / diagnostic imaging
  • Ventricular Septal Rupture* / etiology
  • Ventricular Septal Rupture* / surgery