Post-myocardial Infarction Ventricular Septal Defect: A Case Report of a Rare but Devastating Complication

Post-myocardial infarction ventricular septal defect (PMI-VSD) is a rare but serious complication of acute myocardial infarction, characterized by a rupture in the interventricular septum. Patients typically present with symptoms of cardiogenic shock, a new systolic murmur, and heart failure. Diagnosis is confirmed through echocardiography with Doppler imaging. Management involves hemodynamic stabilization and definitive repair via surgical or percutaneous approaches. Despite advances in treatment, PMI-VSD is associated with high mortality, highlighting the importance of early detection and prompt intervention.

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Publication Details

Journal
Cureus
Published
2025-02-21
DOI
https://doi.org/10.7759/cureus.79415
Primary Topic
Cardiac Structural Anomalies and Repair
Type
article
Field-Weighted Citation Impact
0.00
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article

Post-myocardial Infarction Ventricular Septal Defect: A Case Report of a Rare but Devastating Complication

Erica S Thomson, Bola Habeb, Rohit Amin, Leanne Short et al.
Cureus
Cardiac Structural Anomalies and Repair
article

Post-myocardial Infarction Ventricular Septal Defect: A Case Report of a Rare but Devastating Complication

Erica S Thomson, Bola Habeb, Rohit Amin, Leanne Short, Nur Mando
article en

Abstract

Post-myocardial infarction ventricular septal defect (PMI-VSD) is a rare but serious complication of acute myocardial infarction, characterized by a rupture in the interventricular septum. Patients typically present with symptoms of cardiogenic shock, a new systolic murmur, and heart failure. Diagnosis is confirmed through echocardiography with Doppler imaging. Management involves hemodynamic stabilization and definitive repair via surgical or percutaneous approaches. Despite advances in treatment, PMI-VSD is associated with high mortality, highlighting the importance of early detection and prompt intervention.

CureusVol. 17(2)
Sacred Heart Hospital (US), Sacred Heart Health System (US)
Good health and well-being
Openalex Percentile: Top 94%
Cardiac Structural Anomalies and Repair
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