# Post-myocardial Infarction Ventricular Septal Defect: A Case Report of a Rare but Devastating Complication

**Authors:** Bola Habeb, Lillian Short, Nur Mando, Erica S Thomson, Rohit Amin

PMC · DOI: 10.7759/cureus.79415 · Cureus · 2025-02-21

## TL;DR

This case report describes a rare and severe heart condition that can occur after a heart attack, emphasizing the need for quick diagnosis and treatment.

## Contribution

The paper presents a clinical case of PMI-VSD, contributing to the understanding of its presentation, diagnosis, and management.

## Key findings

- PMI-VSD is a rare but life-threatening complication of heart attacks.
- Early detection through echocardiography is crucial for effective management.
- Treatment involves stabilizing the patient and performing surgical or percutaneous repair.

## Abstract

Post-myocardial infarction ventricular septal defect (PMI-VSD) is a rare but serious complication of acute myocardial infarction, characterized by a rupture in the interventricular septum. Patients typically present with symptoms of cardiogenic shock, a new systolic murmur, and heart failure. Diagnosis is confirmed through echocardiography with Doppler imaging. Management involves hemodynamic stabilization and definitive repair via surgical or percutaneous approaches. Despite advances in treatment, PMI-VSD is associated with high mortality, highlighting the importance of early detection and prompt intervention.

## Linked entities

- **Diseases:** myocardial infarction (MONDO:0005068), ventricular septal defect (MONDO:0002070), cardiogenic shock (MONDO:0800175), heart failure (MONDO:0005252)

## Full-text entities

- **Diseases:** Post-myocardial Infarction (MESH:D009203), cardiogenic shock (MESH:D012770), PMI-VSD (MESH:D006345), heart failure (MESH:D006333), systolic murmur (MESH:D054160), rupture (MESH:D012421)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11931598/full.md

## References

6 references — full list in the complete paper: https://tomesphere.com/paper/PMC11931598/full.md

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Source: https://tomesphere.com/paper/PMC11931598