Ahmet Seçkin ÇETİNKAYA, Saadettin TAŞLIGİL, Gökhan ERTAŞ

Apical Ventricular Septal Rupture After Subacute Anterior Myocardial Infarction

Ventriküler septal rüptür (VSR), akut miyokardiyal infarkt (MI) sonrası nadir görülen fakat ciddibir mekanik kompikasyondur. Anterior veya inferior MI’la birlikte görülebilir, kötü prognozoluşturur. Anterior MI’da apikal septumda, inferior MI’da ise sıklıkla kalbin bazalinde rüptürgerçekleşir. Spontan kapanması çok nadirdir. VSR’de erken cerrahi girişim yapılmazsa hemenhemen tüm vakalarda ölümcül seyreder. Biz subakut anterior MI’la başvuran ve apikalventriküler septum rüptürü gelişen 67 yaşında bayan hasta sunduk. Bizim vakamız VSR içintipik risk faktörlerine sahipti: yaygın akut MI, hipertansiyon, sigara içmeyen kadın ve anjinaöyküsünün olmaması

Anahtar Kelimeler:

Ventriküler septum rüptürü, miyokardiyal infarkt, ekokardiyografi, prognoz

Subakut Anterior Miyokard Enfarktüsü Sonrası Apikal Ventriküler Septal Rüptür

Ventricular septal rupture (VSR) is a rare but serious mechanical complication of acutemyocardial infarction (MI). Seen with anterior or inferior MI, it carries a poor prognosis.Anterior MI is associated with rupture of the apical septum, in inferior MI, it often occurs at thebase of the heart. Spontaneous closure is very rare. VSR is fatal in almost all cases without earlysurgical intervention. We present a 67-year-old female patient with sub-acute anterior MI, whichwas complicated by a rupture of the apical ventricular septum. Our case illustrates the typicalrisk factors of VSR: an extensive acute MI, hypertension, non-smoking woman, with no historyof angina

Keywords:

Ventricular septal rupture, myocardial infarction, echocardiography, prognosis,

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