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Ventricular double rupture case of long-term survival without surgical repair

M Emin Kalkan1, Sakir Arslan, Serdar Sevimli

  • 1Department of Cardiology, Faculty of Medicine, Ataturk University, Erzurum, Turkey.

European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology
|September 2, 2008
PubMed

Insights

This case highlights ventricular double rupture (VDR), a rare complication following myocardial infarction. The patient presented with a murmur, and echocardiography confirmed VDR, including septal and free wall rupture with pseudoaneurysm.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Diagnostic Imaging

Background:

  • Ventricular double rupture (VDR) is a rare but severe complication following myocardial infarction.
  • Delayed diagnosis and management can lead to significant morbidity and mortality.
  • Patient history of coronary artery disease and anterior myocardial infarction is crucial.

Observation:

  • Auscultation revealed a Grade 3 holosystolic murmur.
  • Transthoracic echocardiography confirmed VDR, including ventricular septal rupture and left ventricular free wall rupture with pseudoaneurysm.

Findings:

  • The patient refused recommended surgical repair for VDR 7 years ago.
  • VDR persisted, presenting as a significant cardiac anomaly during preoperative assessment.

Implications:

  • This case underscores the critical importance of timely surgical repair for VDR.
  • Delayed intervention for VDR can lead to persistent cardiac defects and potential complications.
  • Understanding VDR pathophysiology is crucial for managing patients with complex coronary artery disease.

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