Ventricular septal rupture

Abstract

Background: Ventricular septal defect (VSD) is a lethal complication of myocardial infarction.
Case presentation: A 67-year-old male who presented with a history of chest pain associated with
shock... Physical examination was significant for crepitation in lower lung fields. Echo showed a
left ventricular ejection fraction (LVEF) of 30-35% and muscular ventricular septal defects with
left to right shunting and elevated pulmonary artery systolic pressure. In a short time, he
developed respiratory failure during the hospital course. Our patient had VSD due to acute
myocardial infarction (MI). The patient was transferred to another hospital on a ventilator for
surgical intervention but died before any procedure.