Portuguese AJ, Abdulla KH, Vornovitsky M, DeAngelis J. A Case Report: Point-of-care Ultrasound in the Diagnosis of Post-Myocardial Infarction Ventricular Septal Rupture.
Clin Pract Cases Emerg Med 2020;
4:407-410. [PMID:
32926698 PMCID:
PMC7434273 DOI:
10.5811/cpcem.2020.4.47073]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Revised: 04/21/2020] [Accepted: 04/24/2020] [Indexed: 11/11/2022] Open
Abstract
INTRODUCTION
Ventricular septal rupture (VSR) is a rare complication of ST-elevation myocardial infarction (STEMI), typically discovered post-revascularization.
CASE REPORT
We present the first case of VSR detected on point-of-care ultrasound (POCUS) in the emergency department immediately prior to emergent angiography, with management positively affected by this discovery. The VSR was quickly confirmed via right heart catheterization. Subsequently, hemodynamic stability was achieved using an intra-aortic balloon pump. A delayed surgical VSR repair, with concomitant coronary artery bypass grafting, was implemented for definitive management.
CONCLUSION
This case highlights the utility of POCUS in a STEMI patient with a suspected mechanical complication.
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