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Updated: Jan 27, 2026
06:10
Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
3.6K
Inferior Wall ST-elevation Myocardial Infarction Complicated by Ventricular Septal Defect and Free Wall
Salma Khatoon1, Michael Goyfman2, Sepideh Nabatian2
1Internal Medicine, Long Island Jewish Forest Hills Hospital, New York, USA.
Cureus
|March 15, 2019
Summary
Mechanical complications of myocardial infarction (MI) are rare but serious. This case highlights ventricular septal rupture and myocardial free wall rupture, emphasizing close monitoring post-MI, especially after percutaneous coronary intervention (PCI).
Area of Science:
- Cardiology
- Cardiovascular Medicine
Background:
- Myocardial infarction (MI) management has improved, reducing mechanical complication incidence.
- Despite advances, complications like ventricular septal rupture (VSR) and free wall rupture can still occur.
Observation:
- An elderly male with inferior wall MI underwent percutaneous coronary intervention (PCI).
- He developed a post-infarction VSR and basal inferior wall aneurysm.
Findings:
- The VSR and aneurysm progressed over three weeks.
- This culminated in a myocardial free wall rupture with hemopericardium.
Implications:
- This case underscores the critical need for high suspicion and close monitoring for mechanical complications post-MI, particularly in elderly patients post-PCI.
- Early detection and management are vital for improving outcomes in these high-risk patients.
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