Ventricular septal rupture and right ventricular intramyocardial dissection secondary to acute inferior myocardial

Márcio Sommer Bittencourt1, Martin Seltmann, Gerd Muschiol

  • 1Internal Medicine Division, University Hospital, University of São Paulo Medical School, Av Lineu Prestes 2565, Butantã, CEP 05508-000, São Paulo, Brazil.

Insights

A patient with myocardial infarction and ventricular septal rupture underwent successful surgical repair after cardiac CT revealed unfavorable anatomy for less invasive treatment. This case highlights surgical repair as a viable option for complex cardiac conditions.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Cardiovascular Imaging

Background:

  • Subacute myocardial infarction can lead to serious complications.
  • Ventricular septal rupture is a rare but life-threatening complication following myocardial infarction.
  • Accurate anatomical assessment is crucial for treatment planning.

Observation:

  • A 61-year-old female presented with subacute myocardial infarction and ventricular septal rupture.
  • Invasive evaluation revealed an occluded right coronary artery.
  • Echocardiogram confirmed ventricular septal rupture.

Findings:

  • Cardiac computed tomography (CT) was utilized to delineate the septal anatomy.
  • The cardiac CT findings indicated unfavorable anatomy for percutaneous intervention.
  • The patient underwent successful surgical repair of the ventricular septal rupture.

Implications:

  • Surgical repair remains a critical treatment option for ventricular septal rupture when percutaneous approaches are not feasible.
  • Cardiac CT is valuable for pre-procedural planning in complex cardiac cases.
  • Multidisciplinary approaches involving cardiology, radiology, and cardiac surgery are essential for optimal patient outcomes.

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