Key result
Post-MI ventricular septal rupture can occur despite angiographically normal coronary arteries.
Why the study?
Ventricular wall rupture has become an infrequent complication of myocardial infarction due to prompt reperfusion strategies, and patients with myocardial infarction and normal coronary arteries rarely develop severe mechanical complications.
Case Report (n=1)
Highlights a rare case of severe mechanical complication (ventricular septal rupture) in a patient with myocardial infarction and normal coronary arteries.
Mechanical complications like VSR remain possible after MI with normal coronaries; this case leaves open questions on incidence and mechanisms.
Ventricular wall rupture has become an infrequent complication of myocardial infarction due to widespread use of prompt reperfusion strategies. Patients suffering myocardial infarction with normal coronary arteries seldom develop severe mechanical complications. We present the case of a patient who developed a ventricular septal rupture following an anteroseptal myocardial infarction and who presented normal coronary arteries at the time of coronary angiography. A rutura da parede ventricular tornou-se uma complicação pouco frequente em casos de enfarte do miocárdio devido às estratégias de reperfusão urgente. Os pacientes que sofrem enfarte do miocárdio com coronárias normais raramente desenvolvem complicações mecânicas graves. Apresentamos o caso de um paciente que evoluiu para rutura do septo interventricular na sequência de um enfarte do miocárdio ântero-septal, em que a angiografia coronária mostrou artérias coronárias normais.
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Muñoz et al. (2015) conducted a case report in Myocardial infarction with normal coronary arteries and ventricular septal rupture (n=1). Myocardial infarction with normal coronary arteries was evaluated on Ventricular septal rupture. A patient developed a ventricular septal rupture following an anteroseptal myocardial infarction despite having normal coronary arteries on angiography.
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