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Delayed ventricular septal rupture after percutaneous coronary intervention in acute myocardial infarction

Title
Delayed ventricular septal rupture after percutaneous coronary intervention in acute myocardial infarction
Authors
Park J.Y.Park S.H.Oh J.Y.Kim I.J.Lee Y.H.Kwon K.H.
Ewha Authors
박시훈박성훈오지영권기환
SCOPUS Author ID
박시훈scopus; 박성훈scopus; 오지영scopus; 권기환scopus
Issue Date
2005
Journal Title
Korean Journal of Internal Medicine
ISSN
1226-3303JCR Link
Citation
Korean Journal of Internal Medicine vol. 20, no. 3, pp. 243 - 246
Indexed
SCIE; SCOPUS; KCI scopus
Document Type
Article
Abstract
In the era before reperfusion therapy, ventricular septal rupture complicated 1-13% of acute myocardial infarctions (AMI) usually 3-5 days after onset. Studies have reported a positive correlation between the incidence of septal perforation and total occlusion of the coronary arteries. A 70-year old female patient was referred to the emergency room with the diagnosis of acute anterior myocardial infarction (MI) and recent cerebral infarction. The coronary angiogram showed a 90% stenosis at the mid-portion of the left anterior descending artery (LAD), and the lesion was successfully treated by percutaneous coronary intervention (PCI) with stent implantation. After PCI, the anterior wall motion improved on the follow-up echocardiogram. However, on the 20th hospital day, the patient condition deteriorated suddenly with pulmonary congestion. The echocardiography revealed a 1.3 cm ventricular septal defect at the apical septum with a left-to-right shunt. We report this rare case of delayed septal rupture in a patient with patent LAD after PCI and recovery of wall motion.
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의과대학 > 의학과 > Journal papers
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