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Published on: February 1, 2022
Postinfarction Ventricular Septal Rupture With Thin Membrane Preventing Cardiopulmonary Collapse
James Mannion1, Shane Ahern2, Caleb Powell1
1Cardiology Department, Cork University Hospital, Cork, Ireland.
Abstract:
A 53-year-old man presented with dyspnea, orthopnea, and paroxysmal nocturnal dyspnea 1 week after an episode of severe chest pain. His electrocardiogram demonstrated inferior Q waves. He was hemodynamically stable, with clinical heart failure and a loud pansystolic murmur. Echocardiography showed a large ventricular septal defect on the basal inferior wall, with a thin septal membrane. This membrane had a small defect with left-to-right flow. Coronary angiography showed an occluded right coronary artery. A delayed patch repair and bypass graft were performed, with good success. No presurgical supports were required, as the membrane preserved hemodynamic integrity for 2 weeks.
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