Case Report

Unruptured Ventricular Septal Dissection Complicating Anterior Wall Myocardial Infarction

Abstract

Interventricular septal dissection is a rare Complication of the interventricular septum. It may result from an aneurysm of the sinuses of Valsalva, bacterial endocarditis, trauma, cardiac surgery, Myocardial infarction, endomyocardial biopsy, or a congenital myocardial developmental anomaly. Postmyocardial infarction ventricular septal rupture (VSR) is a rare complication (1/1000), and ventricular septal dissection is an even less common complication with only five case reports previously described, But unruptured post Myocardial Infarction (MI) dissection is even rarer with only one reported study before. In this case report we describe an unruptured post-MI Interventricular septal dissection following anterior wall MI.

1. Gu, X., He, Y., Luan, S., Zhao, Y., Sun, L., Zhang, H., Nixon, J. I. (2017). Dissection of the interventricular septum: Echocardiographic features. Medicine, 96(10). https://doi. org/10.1097/MD.0000000000006191
2. Nakata, A., HIROTA, S., Tsuji, H., Takazakura, E. (1996). Interventricular septal dissection in a patient with an old myocardial infarction. Internal medicine, 35(1), 33-35. https://doi.org/10.2169/internalmedicine.35.33
3. Tanoue, K., Sata, N., Amitani, S., Yamashita, T., Moriyama, Y., Miyahara, K. (2006). Interventricular septal dissection after acute myocardial infarction. The Annals of thoracic surgery, 82(2), 751. https://doi.org/10.1016/j. athoracsur.2005.05.032
4. Hirose, S., Kanemoto, N., Matsuyama, S. (1988). Ventricular septal dissection: a case report. Journal of cardiology, 18(2), 575-581.
5. Rumoroso, J. R., Arriandiaga, J. R., Rodrigo, D., Montes, P. M., Irigoyen, J. M., Arrizabalaga, J. I., Froufe, G. (1994). Septal dissection in a ventricular septal rupture. Texas Heart Institute Journal, 21(3), 238.
6. Mariscalco, G., Blanzola, C., Leva, C., Cattaneo, P., Manto- vani, V., Ferrarese, S., Sala, A. (2006). Unruptured ventric- ular septal wall dissection. The Journal of cardiovascular surgery, 47, 349-52.
7. Kalvin, L., Yousefzai, R., Khandheria, B. K., Paterick, T. E., Ammar, K. A. (2017). Ventricular septal dissection compli- cating inferior wall myocardial infarction. Case Reports in Cardiology, 2017. https://doi.org/10.1155/2017/9680891
8. Westaby, S., Kharbanda, R., Banning, A. P. (2012). Cardio- genic shock in ACS. Part 1: prediction, presentation and medical therapy. Nature Reviews Cardiology, 9(3), 158. https://doi.org/10.1038/nrcardio.2011.194
Files
IssueVol 7 No 4 (2022): July-August QRcode
SectionCase Report(s)
DOI https://doi.org/10.18502/crcp.v7i4.11600
Keywords
Ventricular Septal Dissection Myocardial Infarction

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Rashidinejad A, Khalili M, Habibi Khorasani S, Shahidzadeh Z. Unruptured Ventricular Septal Dissection Complicating Anterior Wall Myocardial Infarction. CRCP. 2023;7(4):208-210.