Author/Authors :
Kalvin, Lindsey Aurora Cardiovascular Services - Aurora Sinai Aurora St. Luke’s Medical Centers, Milwaukee, WI, USA , Yousefzai, Rayan Aurora Cardiovascular Services - Aurora Sinai Aurora St. Luke’s Medical Centers, Milwaukee, WI, USA , Khandheria, Bijoy K. Aurora Cardiovascular Services - Aurora Sinai Aurora St. Luke’s Medical Centers, Milwaukee, WI, USA , Paterick, Timothy E. Aurora Cardiovascular Services - Aurora Sinai Aurora St. Luke’s Medical Centers, Milwaukee, WI, USA , Ammar, Khawaja Afzal Aurora Cardiovascular Services - Aurora Sinai Aurora St. Luke’s Medical Centers, Milwaukee, WI, USA
Abstract :
Postmyocardial infarction ventricular septal defect is an increasingly rare mechanical complication of acute myocardial infarction.
We present a case of acute myocardial infarction from right coronary artery occlusion that developed hypotension and systolic
murmur 12 hours after successful percutaneous coronary intervention. Although preoperative imaging suggested a large ventricular
septal defect and a pseudoaneurysm, intraoperative findings concluded a serpiginous dissection of the ventricular septum. The
imaging technicalities are discussed.
