Functional uni-ventricular heart due to post-myocardial infarction ventricular septum rupture.
Christopher GaisendreesFabian HoffmannLiz KufferNavid MaderThorsten WahlersPublished in: Echocardiography (Mount Kisco, N.Y.) (2022)
Ventricular septum defect (VSD) is an often lethal complication caused by myocardial infarction. We report a rare case of post-myocardial infarction ventricular septum rupture in a patient after extracorporeal cardiopulmonary resuscitation (eCPR). In the bedside echocardiography after VA ECMO cannulation, we noticed the circular, hypertrophied left ventricle with the disintegrated inter-ventricular septum (maximum dehiscence 3.3 cm), accompanied by decreased left-ventricular ejection fraction and the right ventricle being compressed by the left ventricle's free septal wall. There was no pressure-relevant inter-ventricular separation resulting in left-to-right-shunting and therefore resulting in a fully functional uni-ventricular heart.
Keyphrases
- left ventricular
- heart failure
- mitral valve
- hypertrophic cardiomyopathy
- aortic stenosis
- cardiopulmonary resuscitation
- cardiac resynchronization therapy
- acute myocardial infarction
- left atrial
- cardiac arrest
- ejection fraction
- catheter ablation
- pulmonary hypertension
- pulmonary artery
- rare case
- atrial fibrillation
- computed tomography
- mass spectrometry
- coronary artery
- pulmonary arterial hypertension