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Post-infarction biventricular free wall rupture with extracardiac shunt presenting as ventricular septal rupture
Alia Noorani1, Christiana Burt, Samer A M Nashef
1Department of Cardiothoracic Surgery, Papworth Hospital, Cambridge, UK.
Abstract:
Ventricular free wall rupture is a rare, usually fatal complication of acute myocardial infarction. Subacute free wall rupture with pseudoaneurysm formation is even rarer, but may be associated with a chance of survival if surgery is performed expeditiously. Although rupture of the left ventricle is more common, right-sided rupture has also been reported. We report an unusual case of post-infarct biventricular rupture masquerading as a ventricular septal defect, due to an extracardiac shunt within the pseudoaneurysm. Our patient underwent urgent surgery, made an excellent recovery and was discharged home in a fully functional condition within a week post-surgery.
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