Cor Vasa 2024, 66(1):76-79 | DOI: 10.33678/cor.2023.065
Post-infarction ventricular septal rupture; a case report: An insight to the Americas
- a Universidad Nacional Autónoma de Honduras, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico
- b Hospital General ISSSTE "Dr Darío Fernández Fierro", Mexico City, Mexico
- c Universidad Nacional Autónoma de Honduras, Honduras
- d Instituto Cardiopulmonar de Honduras, Honduras
Ventricular septal rupture (VSR) constitutes one of the possible mechanical complications following an acute myocardial infarction (AMI), even though very infrequent, it bears an elevated high mortality rate. Although most patients develop florid clinical manifestations, a minority might have a silent evolution, experiencing a subacute heart failure (HF) onset or decompensation instead. Once identified, prompt treatment is mandatory. Management, consistent of medical therapy (i.e.; anti-ischemic and afterload reducing medications) along with definite repair, either through interventional or surgical technique, is necessary, since if uncor- rected, VSR ultimately leads to death. However, many developing countries face an inadequate healthcare access, resulting in delayed and impoverished medical attention. We present the case of an elderly woman with decompensated HF due to an apical VSR, and as a result of several extra-medical issues, only medical therapy was established, and as feared, she succumbed to the disease.
Keywords: Cardiovascular diseases in the Americas, Mechanical complication of myocardial infarction, Ventricular septal rupture
Received: June 21, 2023; Revised: July 26, 2023; Accepted: August 20, 2023; Prepublished online: June 2, 2012; Published: March 5, 2024 Show citation
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