Postinfarction Ventricular Septal Rupture and Hemopericardium with Tamponade Physiology.

• Type of Material: Article
• Authors: Samuel D Maidman, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia.; Logan M Eberly, Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia.; Adam Greenbaum, Emory University; Robert Guyton, Emory University; Bryan Wells, Emory University
• Language: English
• Date: 2021-02
• Publisher: Elsevier Inc.
• Publication Version: Final Published Version
• Copyright Statement: 2020 by the American Society of Echocardiography.
• License: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1016/j.case.2020.10.010
• Title of Journal or Parent Work: CASE (Phila)
• Volume: 5
• Issue: 1
• Start Page: 48
• End Page: 50
• Keywords: Defect; Tamponade; Rupture; VSD; Transcatheter
• Research Categories: Health Sciences, Public Health; Health Sciences, Medicine and Surgery

Abstract

In the current era of coronary revascularization, postinfarction rupture is a rare complication of myocardial infarction (MI). We present a case of postinfarction ventricular septal rupture (VSR) identified by transthoracic echocardiography (TTE). The patient subsequently developed cardiac tamponade physiology and was diagnosed with a hemopericardium secondary to myocardial leak following contrast-enhanced TTE. A novel transcatheter strategy was used to place a percutaneous ventricular assist device, which was followed by surgery, and the patient survived to discharge.