Right Ventricular Wall Dissection After a Late-Presenting Inferior Myocardial Infarction

Kevin G. Buda, DO; Nadhem Abdallah, MD; Sebastian Iturra, MD; Katarzyna Hryniewicz, MD

JACC: Case Reports (Jul 2024)

Right Ventricular Wall Dissection After a Late-Presenting Inferior Myocardial Infarction

Kevin G. Buda, DO,
Nadhem Abdallah, MD,
Sebastian Iturra, MD,
Katarzyna Hryniewicz, MD

Affiliations

Kevin G. Buda, DO: Minneapolis Heart Institute–Abbott Northwestern Hospital, Minneapolis, Minnesota, USA; Division of Cardiology, Department of Internal Medicine, Hennepin Healthcare, Minneapolis, Minnesota, USA
Nadhem Abdallah, MD: Department of Internal Medicine, Hennepin Healthcare, Minneapolis, Minnesota, USA
Sebastian Iturra, MD: Department of Cardiothoracic Surgery, Minneapolis Heart Institute–Abbott Northwestern Hospital, Minneapolis, Minnesota, USA
Katarzyna Hryniewicz, MD: Minneapolis Heart Institute–Abbott Northwestern Hospital, Minneapolis, Minnesota, USA; Address for correspondence: Dr Katarzyna Hryniewicz, Minneapolis Heart Institute, 920 East 28th Street, Suite 300, Minneapolis, Minnesota 55401, USA.

Journal volume & issue: Vol. 29, no. 14
p. 102403

Abstract

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A 40-year-old male presented with an inferior ST-segment elevation myocardial infarction. Multimodality imaging identified a ventricular septal defect and a right ventricular free wall dissection. He was bridged with a percutaneous microaxial left ventricular assist device to successful surgical repair. Multimodality imaging, shock team involvement, and mechanical support were critical in ensuring his survival to hospital discharge.

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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