Ventricular Septal Dissection Complicating Inferior Wall Myocardial Infarction

الملخص EN

Postmyocardial infarction ventricular septal defect is an increasingly rare mechanical complication of acute myocardial infarction.

We present a case of acute myocardial infarction from right coronary artery occlusion that developed hypotension and systolic murmur 12 hours after successful percutaneous coronary intervention.

Although preoperative imaging suggested a large ventricular septal defect and a pseudoaneurysm, intraoperative findings concluded a serpiginous dissection of the ventricular septum.

The imaging technicalities are discussed.