Rotura del septum interventricular post infarto agudo al miocardio: una complicación potencialmente letal Revisión de la literatura a propósito de un caso clínico / Ventricular septal rupture after acute myocardial infarction: a potentially lethal complication Case report and literature review
Rev. méd. Maule
;
36(2): 49-59, dic. 2021. ilus
Artículo
en Español
| LILACS
| ID: biblio-1378504
ABSTRACT
Rupture of the ventricular septum with the appearance of an interventricular communication is an infrequent and life-threatening mechanical complication after acute myocardial infarction. The advent of coronary reperfusion therapies has reduced the incidence of this complication, but mortality remains high. The clinical presentation varies from mild compromise with exertional dyspnea to severe compromise with cardiogenic shock. In this pathology, early diagnosis is fundamental and surgical repair is the treatment of choice. In this article we report an interesting clinical case about a 77-year-old woman who was belatedly referred to our hospital and diagnosed with postinfarction rupture of the ventricular septum with an unfortunately fatal evolution. Relevance of this case lies in its atypical clinical presentation which led to a delay in diagnosis and a missed opportunity for early reperfusion therapy. An updated literature review about rupture of the ventricular septum complicating acute myocardial infarction was carried out.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Rotura Septal Ventricular
Tipo de estudio:
Estudio diagnóstico
/
Estudio de etiología
/
Factores de riesgo
/
Estudio de tamizaje
Límite:
Anciano
/
Femenino
/
Humanos
Idioma:
Español
Revista:
Rev. méd. Maule
Asunto de la revista:
Medicina
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Hospital Regional de Talca/CL
/
Universidad Católica del Maule/CL
/
Universidad Finis Terrae/CL
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