Ventricular Double Rupture: A Rare Combination of Ventricular Septal Rupture and Concealed Post-Infarction Free Wall Rupture

A 72-year-old woman with well-controlled hypertension presented to our hospital due to worsening symptoms of heart failure. She had a history of acute anterior wall ST-elevation myocardial infarction (MI) diagnosed 2 weeks previously, when she received clinically successful fibrinolytic therapy at another regional hospital 4 hours after symptom onset. Four (4) days after hospital discharge, she gradually developed dyspnoea on exertion and orthopnoea. No recurrent chest pain was reported. On examination, her blood pressure was 120/65 mmHg with a regular pulse rate at 90/minute.
Source: Heart, Lung and Circulation - Category: Cardiology Authors: Tags: Image Source Type: research