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Generation and Characterization of Right Ventricular Myocardial Infarction Induced by Permanent Ligation of the Right Coronary Artery in Mice
Published on: February 1, 2022
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.
Abstract:
A 61-year-old female patient presented with sub acute myocardial infarction with an occluded right coronary artery on invasive evaluation and a ventricular septal rupture on echocardiogram. Cardiac computed tomography (CT) was performed to better define the septal anatomy. As the anatomy on cardiac CT was considered unfavorable for percutaneous intervention, the patient underwent successful surgical repair.
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