Abstract |
A 57-year-old woman presented with acute-onset dyspea with a duration of more than 2 days. Four days earlier, she had been thrombolyzed with streptokinase for inferior wall myocardial infarction in a nearby hospital. On examination, we found that the patient had elevated jugular venous pressure and systolic murmur in left lower parasternal region. In addition, there was a ventricular septal rupture in the posterobasal interventricular septum, with at least 2 exit points into the right ventricle. Timely identification of ventricular septal rupture before PCI is of paramount importance, as it has major implications in management of the patient.
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Authors | A Shaheer Ahmed, Nitish Rai, Gauravkumar Divani |
Journal | The Journal of invasive cardiology
(J Invasive Cardiol)
Vol. 33
Issue 10
Pg. E834
(Oct 2021)
ISSN: 1557-2501 [Electronic] United States |
PMID | 34609329
(Publication Type: Case Reports, Journal Article)
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Topics |
- Dyspnea
(diagnosis, etiology)
- Female
- Heart Ventricles
(diagnostic imaging)
- Humans
- Inferior Wall Myocardial Infarction
(complications, diagnosis)
- Middle Aged
- Percutaneous Coronary Intervention
- Ventricular Septal Rupture
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