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Updated: Aug 30, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Hemodynamic complications of ventricular septal rupture after acute myocardial infarction
Brett M Sasseen1, Osvaldo S Gigliotti, Steven Lavine
1University of Florida Health Science Center, Jacksonville, Florida 32209, USA. brett.sasseen@jax.ufl.edu
Abstract:
Ventricular septal rupture (VSR) is a rare but serious complication following acute myocardial infarction (MI). Patients may present with a new murmur associated with a thrill. Right heart catheterization will demonstrate elevated right atrial and pulmonary artery pressures as well as an oxygen step-up at the right ventricular level. Patients with a right ventricular infarction or cardiogenic shock and a ventricular septal rupture have high in-hospital mortality rates. Prompt diagnosis followed by surgical repair is essential for patients with VSR following MI.
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