Ventricular Septal Rupture and Right Ventricular Free Wall Dissection after Inferior Myocardial Infarction: A Case Report and Review of the Literature

2010 ◽  
Vol 23 (7) ◽  
pp. 791.e1-791.e3 ◽  
Author(s):  
Gernot Schram ◽  
Btissama Essadiqi ◽  
Michel Doucet ◽  
Denis Bouchard ◽  
Robert Amyot
Keyword(s):  
Myocardial Infarction ◽  
Case Report ◽  
Right Ventricular ◽  
Ventricular Free Wall ◽  
Free Wall ◽  
Ventricular Septal Rupture ◽  
Review Of The Literature ◽  
Inferior Myocardial Infarction ◽  
Right Ventricular Free Wall

scholarly journals P251 Right ventricular free wall dissection clearly detected and recorded by echocardiography: a fatal complication after inferior myocardial infarction

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
Y Kawada ◽  
A Yamada ◽  
N Hoshino ◽  
M Hoshino ◽  
S Yamabe ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Blood Pressure ◽  
Right Ventricular ◽  
Left Ventricular ◽  
Ventricular Free Wall ◽  
Inferior Wall ◽  
Free Wall ◽  
Inferior Myocardial Infarction ◽  
Fatal Complication ◽  
Right Ventricular Free Wall

Abstract An 81-year-old man was transferred to our institution by ambulance because of poor feeding, general fatigue and slight disorientation lasting for a week. On arrival, he was awake and able to speak, however, his blood pressure was low at 61/43 mmHg in spite of his medical history of hypertension. His ECG showed abnormal Q waves and ST elevation in II, III, aVF leads. The echo exam detected severe hypokinesis in the left ventricular inferior wall and reduced ejection fraction at 30%. Pericardial effusion was not observed in the first echo exam. The patient was diagnosed as cardiogenic shock due to recent inferior myocardial infarction. Coronary angiography was performed, which detected total occlusion of mid right coronary artery, followed by a successful percutaneous coronary intervention (PCI) with a drug-eluting stent under the support of intra-aortic balloon pumping. Nevertheless, his blood pressure remained low and intravenous adrenaline administration was necessary during and even after PCI. To detect the cause of prolonged low blood pressure, echo was performed again immediately after PCI. The echo exam detected new findings: right ventricular posterior free wall was dissected and abnormal shunt flows were obviously observed from left ventricle to right atrium through the dissection cavity during systole. An urgent surgical repair was considered as the only option for his survival, however, his family did not accept it because the operation itself was too risky. On the next day of his admission, he passed away. Right ventricular free wall dissection is a very rare but fatal complication after inferior myocardial infarction, nevertheless, we could detect it by echocardiography with clearly recorded images. Abstract P251 Figure.

scholarly journals Right ventricular free wall dyskinesis in the setting of left ventricular non compaction: a case report

2014 ◽  
Vol 7 (1) ◽  
pp. 787
Author(s):  
Tamara Glavinovic ◽  
David YC Cheung ◽  
Francisco J Cordova Perez ◽  
Anita Soni ◽  
Brett Memauri ◽  
...  
Keyword(s):  
Case Report ◽  
Right Ventricular ◽  
Left Ventricular ◽  
Ventricular Free Wall ◽  
Free Wall ◽  
Right Ventricular Free Wall

scholarly journals Fibrin glue patch for pacemaker lead perforation of the right ventricular free wall: A case report

2016 ◽  
Vol 2 (1) ◽  
pp. 80-82 ◽  
Author(s):  
Satoshi Yamaguchi ◽  
Masaki Tabuchi ◽  
Kageyuki Oba ◽  
Hiroshi Doi ◽  
Osamu Arasaki
Keyword(s):  
Case Report ◽  
Right Ventricular ◽  
Fibrin Glue ◽  
Ventricular Free Wall ◽  
Pacemaker Lead ◽  
Free Wall ◽  
Right Ventricular Free Wall ◽  
Lead Perforation ◽  
The Right
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