Cor Vasa 2013, 55(6):e536-e540 | DOI: 10.1016/j.crvasa.2013.05.004

Ventricular septal rupture with hemodynamically important left-to-right shunt, right ventricular myocardial infarction, transient type III atrioventricular block and the development of left ventricular aneurysm as a complication of sub-acute myocardial infarction of the bottom wall accompanied by post-infarction unstable angina pectoris

Ondřej Bolek^a,*, Martin Hutyra^a, Markéta Kaletová^a, Jiří Ostřanský^a, Marcela Škvařilová^a, František Kováčik^a, Jan Přeček^a, Marie Černá^b, Martin Köcher^b, Zbyněk Tűdös^b, Vladimír Lonský^c, Petr Šantavý^c, Miloš Táborský^a

^a I. interní klinika - kardiologie, Lékařská fakulta Univerzity Palackého a Fakultní nemocnice Olomouc, Olomouc, Česká republika

^b Radiologická klinika, Lékařská fakulta Univerzity Palackého a Fakultní nemocnice Olomouc, Olomouc, Česká republika

^c Kardiochirurgická klinika, Lékařská fakulta Univerzity Palackého a Fakultní nemocnice Olomouc, Olomouc, Česká republika

Ventricular septal rupture is a serious mechanical complication of myocardial infarction with important hemodynamic consequences. Without a rapid diagnosis and correction by surgical intervention, the short--term mortality of these patients is higher than 90%. We report the case of a patient with acute inferior myocardial infarction and a ventricular septal rupture with early diagnosis based on clinical examination and transthoracic echocardiography and postponed successful surgical correction.

Keywords: Myocardial infarction; Ventricular septal rupture

Received: April 8, 2013; Revised: May 3, 2013; Accepted: May 17, 2013; Published: December 1, 2013  Show citation