Post-Myocardial Infarction Ventricular Septal Defect

A 76-year-old male patient with cardiogenic shock manifested with hypotension, cold clammy peripheries, oliguria and frank pulmonary edema. The patient suffered a myocardial infarction for 7 days. There has been a decrease in admissions for STEMI (ST-Segment Elevation Myocardial Infarction) during the coronavirus disease-2019 (COVID-19) pandemic. Post-myocardial infarction ventricular septal defect (post-MI VSD) is an increasingly rare complication of myocardial infarction. Typically, it develops within a few days after a transmural MI (Myocardial Infarction) involving the septum. Mortality associated with the complication remains high. VSR (Ventricular Septal Rupture) results in left-to-right shunting, RV (Right Ventricular) volume and pressure overload, increased pulmonary venous return, and secondary left-sided volume overload. Transthoracic and Doppler echocardiography are essential to diagnosing the presence, size, and hemodynamic impact of VSR and helping establish the diagnosis while excluding other etiologies of hemodynamic instability.

Credit
Olga Cardiologist

Dimensions
2000 x 1613 pixels

Print Size @ 300 dpi
7 x 5 inches / 17 x 14 cm