A case of postinfarction ventricular septal rupture in a thrombolyzed patient is described. Coronary angiography revealed normal coronary arteries. The interrelations of long-term survival of postinfarction ventricular septal rupture, thrombolysis, and normal coronary arteries are discussed.
Get full access to this article
View all access options for this article.
References
1.
Lemery R., Smith HC, Giuliani ER, et al: Prognosis in rupture of the ventricular septum after acute myocardial infarction and role of early surgical intervention. Am J Cardiol70:147-151, 1992.
2.
Radford MJ, Arnold Johnson R, Daggett WM Jr, et al: Ventricular septal rupture: A review of clinical and physiologic features and an analysis of survival. Circulation64:545-553, 1981.
3.
Held AC, Cole PL, Lipton B., et al: Rupture of the interventricular septum complicating acute myocardial infarction: A multicenter analysis of clinical findings and outcome. Am Heart J116:1330-1336, 1988.
4.
St. Louis P. , Rippe JM, Benotti JR, et al: Myocardial infarction with normal coronary arteries complicated by ventricular septal rupture. Am Heart J107:1259-1263, 1984.
5.
Ross R., Kay R., Ambrose J., et al: Coronary thrombosis in the absence of angiographically evident obstructive coronary disease. Chest84:768-770, 1983.
6.
Chandra MS, Raines RD, Doty DB, et al: Postinfarction ventricular septal defect with posterior ventricular aneurysm. Chest68:837-838, 1975.
7.
Smyllie J., Sutherland GR, Visser C., et al: Range of coronary artery lesions and the requirement for coronary arteriography in post-infarct ventricular septal defects (abstract). Br Heart J61:114, 1989.
8.
de Swart H., Cheriex E., Dijkman L., et al: Myocardial rupture after myocardial infarction: The importance of a patent coronary artery (abstract). Eur Heart J14:74, 1993.
9.
Westaby S., Parry A., Ormerod O., et al: Thrombolysis and postinfarction ventricular septal rupture. J Thorac Cardiovasc Surg104:1506-1509, 1992 .
10.
Schmidt WG, Uebis R., v. Essen R., et al: Residual coronary stenosis after thrombolysis with rt-PA or streptokinase: Acute results and 3 weeks follow-up. Eur Heart J8:1182-1188, 1987.