Case Reports
19 January 2016
Vol. 72 No. 4 (2009): Cardiac series
https://doi.org/10.4081/monaldi.2009.319

Early interventricular septum rupture after systemic thrombolysis in a patient with STEMI

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echocardiography, acute myocardial infarction, cardiac rupture, thrombolysis
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Authors

Antonio Maglione
maglion.ant@virgilio.it
U.O.C. di Cardiologia, Fondazione Evangelica Betania, Napoli, Italy.
Alberto Forni
U.O.C. di Cardiologia, Fondazione Evangelica Betania, Napoli, Italy.
Biagio Liccardo
U.O.C. di Cardiologia, Fondazione Evangelica Betania, Napoli, Italy.
Luigi Corrado
U.O.C. di Cardiologia, Fondazione Evangelica Betania, Napoli, Italy.
Paola De Gregorio
U.O.C. di Cardiologia, Fondazione Evangelica Betania, Napoli, Italy.
Jolanda Cerino
U.O.C. di Cardiologia, Fondazione Evangelica Betania, Napoli, Italy.
Michelina Ferraro
U.O.C. di Cardiologia, Fondazione Evangelica Betania, Napoli, Italy.
Mario Pacileo
U.O.C. di Cardiologia, Università degli studi di Napoli Federico II, Italy.
Nicolino Esposito
U.O.C. di Cardiologia, Fondazione Evangelica Betania, Napoli, Italy.
Intraventricular septal rupture (ISR) is one of the most dreadful complications during AMI, requiring early diagnosis and urgent surgery. However, medical (90%) and surgical (50%) mortality remain elevated. We report a case of a 59 years old patient with inferoposterior AMI complicated by ISR after thrombolysis. Despite early recognition of this complication by trans-thoracic echocardiography at bedside and prompt surgical intervention the patient died on the second post-surgical day.

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“Early Interventricular Septum Rupture After Systemic Thrombolysis in a Patient With STEMI”. 2016. Monaldi Archives for Chest Disease 72 (4). https://doi.org/10.4081/monaldi.2009.319.