Functional uni-ventricular heart due to post-myocardial infarction ventricular septum rupture.

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. © 2022 The Authors. Echocardiography published by Wiley Periodicals LLC.

Citation

Christopher Gaisendrees, Fabian Hoffmann, Liz Kuffer, Navid Mader, Thorsten Wahlers. Functional uni-ventricular heart due to post-myocardial infarction ventricular septum rupture. Echocardiography (Mount Kisco, N.Y.). 2022 Mar;39(3):528-530

Mesh Tags

PMID: 35191064

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