%0 Journal Article
%T ROTURA DEL SEPTO INTERVENTRICULAR DESPU谷S DE INFARTO AGUDO DE MIOCARDIO CON APERTURA Y CIERRE INTERMITENTES / Interventricular septal rupture after acute myocardial infarction with intermittent opening and closing
%A H谷ctor D赤az 芍guila
%A Yamir Santos Monz車n
%A Alberto Fragoso Est谷vez
%A Yonielis Rivero N車brega
%J CorSalud
%D 2013
%I Cardiocentro Ernesto Che Guevara
%X Resumen La rotura del septo interventricular es una grave complicaci車n en pacientes que sufren infarto agudo de miocardio. Se presenta aproximadamente en el 1 % de los pacientes infartados, su mortalidad es elevada y el tratamiento de elecci車n es la reparaci車n quir迆rgica. Se presenta un paciente anciano que ingres車 en la Unidad de Cuidados Intensivos por infarto agudo de miocardio de cara anterior, que recibi車 tratamiento trombol赤tico con estreptokinasa recombinante cubana y 24 horas m芍s tarde, present車 deterioro hemodin芍mico con cambios electrocardiogr芍ficos y aparici車n de soplo sist車lico en la punta. Se realiz車 una ecocardiograf赤a que mostr車 un defecto del septo interventricular con apertura y cierre intermitentes. Horas m芍s tarde el paciente falleci車 por insuficiencia cardiocirculatoria, a pesar del tratamiento. Se presentan las im芍genes ecocardiogr芍ficas y la pieza anat車mica. Lo inusual del presente caso fue la apertura y el cierre intermitentes del defecto interventricular. No se encontr車 ning迆n informe similar a en las bases de datos bibliogr芍ficas consultadas. / Abstract Ventricular septum rupture is a serious complication in patients with acute myocardial infarction. It occurs in approximately 1% of heart attack patients; its mortality rate is high and surgical repair is the treatment of choice. The case of an elderly male patient who was admitted to the Intensive Care Unit for acute anterior myocardial infarction is reported. This patient received thrombolytic therapy with Cuban recombinant streptokinase and 24 hours later presented hemodynamic deterioration with electrocardiographic changes and appearance of systolic murmur at the apex. Echocardiography was performed which showed a ventricular septal defect with intermittent opening and closing. Despite treatment, the patient died of circulatory failure hours later. Echocardiographic images and the anatomical specimen are shown. What was unusual in this case was the intermittent opening and closing of the ventricular septal defect. No similar report was found in the bibliographic databases consulted.
%K Myocardial Infarction
%K Heart Rupture
%K Post-Infarction
%K Shock
%K Cardiogenic
%U http://www.corsalud.sld.cu/pdf/2013/v5n1a13/es/civ.pdf