Key result
Surgical repair of concurrent left ventricular pseudoaneurysm and ventricular septal rupture following an inferior myocardial infarction was unsuccessful, with the patient dying of cardiogenic shock 10 hours postoperatively.
Case Report (n=1)
No
This case highlights the devastating impact and high mortality of dual mechanical complications following an inferior myocardial infarction, underscoring the critical need for early diagnosis and reperfusion in atypical presentations.
Highlights the extreme mortality risk of dual mechanical complications post-MI; leaves open whether earlier intervention or.
We present the case of a 63-year-old male admitted for persistent epigastric pain, initially managed as gastrointestinal in origin. Further evaluation revealed an extensive inferior myocardial infarction, complicated by mechanical complications. Despite intensive medical and surgical management, the patient succumbed to cardiogenic shock postoperatively. This case underscores the importance of early diagnosis and reperfusion in acute coronary syndromes, particularly in atypical presentations. The timing of surgical repair in mechanical complications remains a critical and controversial aspect of management.
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Mokhlis et al. (2025) conducted a case report in Inferior Myocardial Infarction with mechanical complications (n=1). Surgical repair (VSD closure, pseudoaneurysm repair, and CABG) was evaluated on Mortality. Surgical repair of concurrent left ventricular pseudoaneurysm and ventricular septal rupture following an inferior myocardial infarction was unsuccessful, with the patient dying of cardiogenic shock 10 hours postoperatively.
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