A 95-year-old man with an inferior STEMI developed a rare and highly fatal combination of ventricular septal rupture and right ventricular free-wall rupture, diagnosed via echocardiography.
Case Report (n=1)
This case highlights the exceedingly rare and fatal coexistence of ventricular septal rupture and right ventricular free-wall rupture following acute myocardial infarction, emphasizing the critical role of early multimodality imaging.
Post-infarction mechanical complications, including ventricular septal rupture and right ventricular free-wall rupture, are rare but fatal. Early recognition is critical to improve outcomes. A 95-year-old man with pulmonary fibrosis experienced chest pain three days before hospitalization. On admission, he had inferior STEMI with second-degree atrioventricular block, outside the reperfusion window. The next day, he developed recurrent chest pain and hemodynamic shock. Transthoracic echocardiography revealed a muscular inferno-septal ventricular septal rupture (VSR) combined with right ventricular free-wall rupture (RVFWR). The coexistence of VSR and RVFWR is exceedingly rare and carries high mortality, highlighting the importance of early multimodality imaging and prompt diagnosis.
Cherkaoui et al. (Fri,) conducted a case report in Acute myocardial infarction with ventricular septal rupture and right ventricular free-wall rupture (n=1). A 95-year-old man with an inferior STEMI developed a rare and highly fatal combination of ventricular septal rupture and right ventricular free-wall rupture, diagnosed via echocardiography.