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  • Title: Acute myocardial infarction complicated with ventricular septal rupture and intracranial hemorrhage.
    Author: Sari M, Kahveci G, Kilicgedik A, Ayturk M, Pala S.
    Journal: Echocardiography; 2018 Apr; 35(4):559-562. PubMed ID: 29420842.
    Abstract:
    Ventricular septal rupture (VSR) is a rare but fatal complication of acute myocardial infarction (AMI) with an associated mortality that ranges from 41% to 80%. The treatment consists of supplemental oxygenation, afterload reduction, intraaortic balloon pump, and surgical repair. In selected patients, extracorporeal membrane oxygenation (ECMO) and/or percutaneous closure of the defect can be considered if anatomically appropriate. Echocardiography evaluates the morphology and location of the defect, anatomical concerns for percutaneous closure, and accompanying pathologies. We present a 48-year-old man with inferior myocardial infarction and basal VSR who was not a candidate for percutaneous closure. Surgery was planned, but he died from extensive subarachnoid and intracranial hemorrhage.
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