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Persistent Winking Coronary Sign in a Case of Post-myocardial Infarction Ventricular Septal Rupture After Device

Souvik Sarkar1, Gajendra Agrawal2, Satish Khadse2

  • 1Respiratory Medicine, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Cureus
|June 19, 2023
PubMed

Insights

The winking coronary sign, a sign of ventricular septal rupture, persisted even after successful device closure of the defect. This case highlights the importance of continued monitoring in myocardial infarction patients with this specific angiographic finding.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Diagnostic Imaging

Background:

  • The winking coronary sign is an angiographic finding associated with ventricular septal rupture (VSR).
  • It involves phasic collapse and refilling of a coronary artery segment overlying the VSR during the cardiac cycle.
  • VSR is a serious complication of myocardial infarction.

Keywords:
coronary angiographypercutaneous arterial closure devicepost-myocardial infarction ventricular septal ruptureventricular septal rupturewinking coronary sign

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