Post-infarction biventricular free wall rupture with extracardiac shunt presenting as ventricular septal rupture

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Abstract

Ventricular free wall rupture is a rare, usually fatal complication of acute myocardial infarction. Subacute free wall rupture with pseudoaneurysm formation is even rarer, but may be associated with a chance of survival if surgery is performed expeditiously. Although rupture of the left ventricle is more common, right-sided rupture has also been reported. We report an unusual case of post-infarct biventricular rupture masquerading as a ventricular septal defect, due to an extracardiac shunt within the pseudoaneurysm. Our patient underwent urgent surgery, made an excellent recovery and was discharged home in a fully functional condition within a week post-surgery. © 2013 The Author.

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Noorani, A., Burt, C., & Nashef, S. A. M. (2013). Post-infarction biventricular free wall rupture with extracardiac shunt presenting as ventricular septal rupture. Interactive Cardiovascular and Thoracic Surgery, 17(2), 419–420. https://doi.org/10.1093/icvts/ivt215

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