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March 1, 1945Annals of Internal Medicine

Acute Coronary Artery Occlusion With Intraventricular Septal Perforation, Bernheim Syndrome, and Superior Vena Cava Obstruction, Diagnosed Clinically

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Population

1 adult male with acute coronary artery occlusion, intraventricular septal perforation, Bernheim syndrome…

Design

Case_report

Authors

AMArthur M. MastérWrexham Maelor HospitalTRTheodore B. RussellUnited States Army Medical Command

Discussion

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Implication

Alerts clinicians to rare concurrent MI complications; leaves open optimal management pending larger studies.

Key Points

  • Document the bedside clinical identification of ventricular septal rupture, Bernheim syndrome, and venous obstruction following an acute myocardial infarction.
  • Clinical and diagnostic case analysis of a 47-year-old male naval officer (N=1) admitted with acute, severe precordial pain.
  • Evaluation of medical history, hemodynamic indicators, and physical examination findings to establish an ante-mortem diagnosis.
  • Acute coronary occlusion resulted in extensive myocardial injury that led directly to interventricular septal perforation.
  • Severe downstream hemodynamic disruption produced concurrent Bernheim syndrome and clinical superior vena cava obstruction.

Structured PICO

P
Population
1 adult male (age 47, Captain USN) with acute coronary artery occlusion, intraventricular septal perforation, Bernheim syndrome, and superior vena cava obstruction

A historical case report detailing the clinical diagnosis of a complex presentation of acute coronary occlusion with septal perforation and Bernheim syndrome.

Cite This Study

Mastér et al. (1945) studied this question.

synapsesocial.com/papers/6a91842e1fac8a9c65dd56ebhttps://doi.org/10.7326/0003-4819-22-3-440
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1MYOCARDIAL INFARCTION RESULTING IN INTERVENTRICULAR SEPTAL PERFORATION; REPORT OF A CASE DIAGNOSED DURING LIFE1949 · 13 citations
  2. 2PERFORATION OF THE INTERVENTICULAR SEPTUM FOLLOWING ACUTE MYOCARDIAL INFARCTION: A REPORT OF FOUR CASES DIAGNOSED ANTE MORTEM1956 · 10 citations
  3. 3PERFORATION OF THE INTERVENTRICULAR SEPTUM FOLLOWING MYOCARDIAL INFARCTION1953 · 31 citations
  4. 4RUPTURE OF THE INTERVENTRICULAR SEPTUM DUE TO MYOCARDIAL INFARCTION: REPORT OF TWO CASES1954 · 4 citations
  5. 5A NOTE ON CORONARY OCCLUSION AND MYOCARDIAL INFARCTION FOUND POST MORTEM AT THE MASSACHUSETTS GENERAL HOSPITAL DURING THE TWENTY YEAR PERIOD FROM 1926 TO 1945 INCLUSIVE1948 · 49 citations