{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T06:29:31Z","timestamp":1783405771088,"version":"3.54.6"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,4,23]],"date-time":"2024-04-23T00:00:00Z","timestamp":1713830400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,4,23]],"date-time":"2024-04-23T00:00:00Z","timestamp":1713830400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100007129","name":"Natural Science Foundation of Shandong Province","doi-asserted-by":"publisher","award":["ZR2022QH080"],"award-info":[{"award-number":["ZR2022QH080"]}],"id":[{"id":"10.13039\/501100007129","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Cardiovasc Disord"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The most common mechanical complications of acute myocardial infarction include free-wall rupture, ventricular septal rupture (VSR), papillary muscle rupture and pseudoaneurysm. It is rare for a patient to experience more than one mechanical complication simultaneously. Here, we present a case of ST-segment elevation myocardial infarction (STEMI) complicated with three mechanical complications, including ventricular apical wall rupture, ventricular aneurysm formation and ventricular septal dissection (VSD) with VSR. Cardiac auscultation revealed rhythmic S1 and S2 with a grade 3 holosystolic murmur at the left sternal border. Electrocardiogram indicated anterior ventricular STEMI. Serological tests showed a significant elevated troponin I. Bedside echocardiography revealed ventricular apical wall rupture, apical left ventricle aneurysm and VSD with VSR near the apex. This case demonstrates that several rare mechanical complications can occur simultaneously secondary to STEMI and highlights the importance of bedside echocardiography in the early diagnosis of mechanical complications.<\/jats:p>","DOI":"10.1186\/s12872-024-03879-y","type":"journal-article","created":{"date-parts":[[2024,4,23]],"date-time":"2024-04-23T10:02:24Z","timestamp":1713866544000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Ventricular apical wall rupture and ventricular aneurysm formation concurrent with ventricular septal dissection and rupture due to ST-segment elevation myocardial infarction: a case report"],"prefix":"10.1186","volume":"24","author":[{"given":"Qianqian","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingwei","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,4,23]]},"reference":[{"issue":"3","key":"3879_CR1","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1001\/jamacardio.2020.3690","volume":"6","author":"FF Gong","year":"2021","unstructured":"Gong FF, Vaitenas I, Malaisrie SC, et al. Mechanical complications of Acute myocardial infarction: a review. JAMA Cardiol. 2021;6(3):341\u20139.","journal-title":"JAMA Cardiol"},{"issue":"4","key":"3879_CR2","doi-asserted-by":"publisher","first-page":"1256","DOI":"10.21037\/jtd-22-394","volume":"14","author":"Z Xu","year":"2022","unstructured":"Xu Z, Li Y, Zhang R, et al. Risk factors for cardiac rupture after acute ST-segment elevation myocardial infarction during the percutaneous coronary intervention era: a retrospective case-control study. J Thorac Dis. 2022;14(4):1256\u201366.","journal-title":"J Thorac Dis"},{"issue":"6","key":"3879_CR3","doi-asserted-by":"publisher","first-page":"1104","DOI":"10.1002\/ccd.27576","volume":"92","author":"AM Goldsweig","year":"2018","unstructured":"Goldsweig AM, Wang Y, Forrest JK, et al. Ventricular septal rupture complicating acute myocardial infarction: incidence, treatment, and outcomes among medicare beneficiaries 1999\u20132014. Catheter Cardiovasc Interv. 2018;92(6):1104\u201315.","journal-title":"Catheter Cardiovasc Interv"},{"key":"3879_CR4","unstructured":"Sattar Y, Alraies MC, Ventricular Aneurysm. 2021 Nov 17. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan&#8211."},{"issue":"10","key":"3879_CR5","doi-asserted-by":"publisher","first-page":"e6191","DOI":"10.1097\/MD.0000000000006191","volume":"96","author":"X Gu","year":"2017","unstructured":"Gu X, He Y, Luan S, et al. Dissection of the interventricular septum: echocardiographic features. Med (Baltim). 2017;96(10):e6191.","journal-title":"Med (Baltim)"},{"key":"3879_CR6","first-page":"103405","volume":"75","author":"J El Ouazzani","year":"2022","unstructured":"El Ouazzani J, Jandou I. Aneurysm and pseudoaneurysm of the left ventricle. Ann Med Surg (Lond). 2022;75:103405.","journal-title":"Ann Med Surg (Lond)"},{"issue":"5","key":"3879_CR7","doi-asserted-by":"publisher","first-page":"773","DOI":"10.5603\/CJ.a2022.0035","volume":"29","author":"JD S\u00e1nchez Vega","year":"2022","unstructured":"S\u00e1nchez Vega JD, Alonso Salinas GL, Vi\u00e9itez Florez JM, et al. Optimal surgical timing after post-infarction ventricular septal rupture. Cardiol J. 2022;29(5):773\u201381.","journal-title":"Cardiol J"},{"issue":"3","key":"3879_CR8","doi-asserted-by":"publisher","first-page":"239","DOI":"10.21037\/acs-2021-ami-20","volume":"11","author":"S Yousef","year":"2022","unstructured":"Yousef S, Sultan I, VonVille HM, et al. Surgical management for mechanical complications of acute myocardial infarction: a systematic review of long-term outcomes. Ann Cardiothorac Surg. 2022;11(3):239\u201351.","journal-title":"Ann Cardiothorac Surg"},{"issue":"1","key":"3879_CR9","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1093\/ejcts\/ezx271","volume":"53","author":"F Formica","year":"2018","unstructured":"Formica F, Mariani S, Singh G, et al. Postinfarction left ventricular free wall rupture: a 17-year single-centre experience. Eur J Cardiothorac Surg. 2018;53(1):150\u20136.","journal-title":"Eur J Cardiothorac Surg"},{"issue":"1","key":"3879_CR10","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1186\/s12245-024-00595-4","volume":"17","author":"A Scafa-Udriste","year":"2024","unstructured":"Scafa-Udriste A, Horodinschi RN, Babos M, et al. Diagnostic challenges between takotsubo cardiomyopathy and acute myocardial infarction-where is the emergency? A literature review. Int J Emerg Med. 2024;17(1):22.","journal-title":"Int J Emerg Med"},{"issue":"8","key":"3879_CR11","doi-asserted-by":"publisher","first-page":"1036","DOI":"10.1002\/ejhf.683","volume":"19","author":"JR Ghadri","year":"2017","unstructured":"Ghadri JR, Cammann VL, Jurisic S, et al. A novel clinical score (InterTAK Diagnostic score) to differentiate takotsubo syndrome from acute coronary syndrome: results from the International Takotsubo Registry. Eur J Heart Fail. 2017;19(8):1036\u201342.","journal-title":"Eur J Heart Fail"},{"issue":"4","key":"3879_CR12","doi-asserted-by":"publisher","first-page":"810","DOI":"10.5603\/KP.2018.0084","volume":"76","author":"B Zaj\u0105c","year":"2018","unstructured":"Zaj\u0105c B, Szymczyk E, Religa G, et al. Immediate surgical repair of left ventricular wall rupture complicating ST-segment elevation myocardial infarction. 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