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Even with delayed operative management to allow for tissue healing, post-myocardial infarction ventricular septal rupture can be complicated by fatal recurrent rupture.
We present the case of a 60-year-old man who presented with a post–myocardial infarction ventricular septal rupture caused by a delayed presentation of myocardial infarction. Despite revascularization, hemodynamic stability, and a 10-day delay until operative management to allow for tissue healing, the patient experienced a fatal recurrent postoperative ventricular septal rupture. (Level of Difficulty: Beginner.)
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Morton et al. (2023) studied this question.
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