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

Abstract

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.

Keywords

• echocardiography
• acute myocardial infarction
• cardiac rupture
• thrombolysis