Rupture of the interventricular septum and the anterior left ventricle wall in acute myocardial infarction


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Abstract

The article describes a clinical case of a 67-year-old male patient with a rupture of the interventricular septum and the anterior wall of the left ventricle in the area of acute vast transmural myocardial infarction. This condition took place against the background of long-term arterial hypertension. The disease was complicated by cardiac tamponade, which was the immediate cause of death. The paper also provides literature data on the incidence of this condition, interventricular septal rupture topography, and the frequency of intravital diagnosis of septal defects using echocardiography. The interventricular septal rupture occurred in the middle third of the anterior part of the septum. The lack of dynamic follow-up of the patient on an outpatient basis, in this case, played an unfavorable role that resulted in the patient's death.

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About the authors

V. V Pechnikova

Research Institute of Human Morphology; Research Institute of Pulmonology

Email: valiagtx0yandex.ru
117418, Moscow, 3 Tsyurupy Str

A. S Kontorshchikov

Research Institute of Human Morphology; Research Institute of Pulmonology

117418, Moscow, 3 Tsyurupy Str

A. L Chernyaev

Research Institute of Human Morphology; Research Institute of Pulmonology; N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia

Email: cheral120gmail.com
117418, Moscow, 3 Tsyurupy Str

O. A Vasyukova

Research Institute of Human Morphology; Research Institute of Pulmonology

Email: o.vas.93@gmail
117418, Moscow, 3 Tsyurupy Str

D. Yu Alekseeva

I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of Russia (Sechenov University)

119991, Moscow, 8/2 Trubetskaya Str

References

  1. Портал российского врача. Доступ: https://medvestnik.ru/content/news/Fond-Zdorove-smertnost-ot-boleznei-sistemy-krovoobrasheniya-vyrosla-v-37-regionah.html (дата обращения - 01.07.2021). @@Portal of a Russian doctor. Available at: https://medvestnik.ru/content/news/Fond-Zdorove-smertnost-ot-boleznei-sistemy-krovoobrasheniya-vyrosla-v-37-regionah.html (date of access - 01.07.2021) (In Russ.).
  2. Свищев А.В., Черняев А.Л. Постинфарктные дефекты межжелудочковой перегородки сердца при гипертонической болезни. Архив патологии. 1982; 7: 63-65. @@Svishchev A.V., Chernyaev A.L. Postinfarction defects of the interventricular septum of the heart in hypertension. Arkhiv patologii = Archive of Pathology. 1982; 7: 63-65 (In Russ.).
  3. Huang S.M., Huang S.C., Wang C.H. et al. Risk factors and outcome analysis after surgical management of ventricular septal rupture complicating acute myocardial infarction: a retrospective analysis. J Cardiothorac Surg. 2015; 10: 66. doi: 10.1186/s13019-01 5-0265-2.
  4. Espinosa-Ledesma A., Ramirez-Orozco F., Herrera-Camacho G. et al. [Mortality of interventricular septum rupture after acute myocardial infarction withsurgical management]. Cir Cir. 2012; 80(6): 496-503.
  5. Steiner I., Pleskot J., Rothrockel P. [Heart rupture in acute myocardial infarct-analysis of 110 cases]. Cesk Patol. 1983; 19(4): 201-10.
  6. Wang D., Zhang F., Meng Y. et al. [Morphological analysis of cardiac rupture due to blunt injury, cardiopulmonary resuscitation and myocardial infarction in forensic pathology]. Nan Fang Yi Ke Da Xue Xue Bao. 2018; 38(12): 1514-20. doi: 10.12122/j.issn.1673-4254.2018.12.19.
  7. Kjeld T., Hassager C., Hjortdal V.E. [Rupture of free left ventricle wall, septum and papillary muscle in acute myocardial infarction]. Ugeskr Laeger. 2009; 171(23): 1925-29.
  8. Tang L., Fang Z., Hu X. et al. Non-surgical repair of ventricular septal rupture after acute myocardial infarction. Int J Cardiol. 2015; 185: 328-32. doi: 10.1016/j.ijcard.2015.03.144.

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