{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T12:25:03Z","timestamp":1763727903584,"version":"3.37.3"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,2,27]],"date-time":"2021-02-27T00:00:00Z","timestamp":1614384000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,2,27]],"date-time":"2021-02-27T00:00:00Z","timestamp":1614384000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Post-infarction perforation of the ventricular septum is recognized as a major complication of post-myocardial infarction. However, post-infarction ventricle dissection is seldom reported, as the ventricular shunt often accompanying this condition is a significant cause of cardiogenic shock. We encountered a rare case of ventricular dissection unaccompanied by a shunt, which caused a state of shock.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 67-year-old man was diagnosed with acute myocardial infarction with a left ventricular oozing rupture. The occlusion of the left anterior descending artery was aspirated, followed by drainage of the pericardial bleeding and hemostasis of the left ventricle. After 15\u00a0h, he presented with sudden cardiogenic shock requiring extra-corporeal membrane oxygenation. The transesophageal echocardiogram showed a left ventricular septal aneurysm. Five days later, he underwent an operation, in which a ventricular septal wall dissection with a tear-forming large pseudoaneurysm was found. The tear was closed with a patch. He was weaned off extra-corporeal membrane oxygenation the next day. \u0391fter 4\u00a0months, he was discharged in a stable condition.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Recognizing and identifying the cause of cardiogenic shock after myocardial infarction is crucial to provide the best treatment and surgical approach. Ventricular septal dissection should be considered, in addition to the usual complications, such as possible papillary muscle rupture, cardiac rupture, and perforation of the interventricular septum.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-021-01141-7","type":"journal-article","created":{"date-parts":[[2021,2,27]],"date-time":"2021-02-27T12:02:56Z","timestamp":1614427376000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Post-myocardial infarction left ventricular septal dissecting aneurysm: a case report"],"prefix":"10.1186","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9457-2127","authenticated-orcid":false,"given":"Yuji","family":"Kamikawa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeki","family":"Ohashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masao","family":"Tadakoshi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akinori","family":"Kojima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirotaka","family":"Yamauchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaoru","family":"Hioki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takanori","family":"Hishikawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Souichirou","family":"Kageyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,2,27]]},"reference":[{"key":"1141_CR1","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1016\/S0003-4975(10)60938-1","volume":"31","author":"S Stewart","year":"1981","unstructured":"Stewart S, Huddle R, Stuard I, Schreiner BF, DeWeese JA. False aneurysm and pseudo-false aneurysm of the left ventricle: etiology, pathology, diagnosis, and operative management. Ann Thorac Surg. 1981;31:259\u201365.","journal-title":"Ann Thorac Surg"},{"key":"1141_CR2","doi-asserted-by":"publisher","first-page":"33","DOI":"10.2169\/internalmedicine.35.33","volume":"35","author":"A Nakata","year":"1996","unstructured":"Nakata A, Hirota S, Tsuji H, Takazakura E. Interventricular septal dissection in a patient with an old myocardial infarction. Intern Med. 1996;35:33\u20135.","journal-title":"Intern Med"},{"key":"1141_CR3","first-page":"135","volume":"55","author":"S Uchikawa","year":"2002","unstructured":"Uchikawa S, Kihara S, Uwabe K, Yamazaki K, Tomizawa Y, Kawai A, et al. Dissecting aneurysm of ventricular septum following acute inferior myocardial infarction. Kyobu Geka. 2002;55:135\u20139.","journal-title":"Kyobu Geka"},{"key":"1141_CR4","doi-asserted-by":"publisher","first-page":"751","DOI":"10.1016\/j.athoracsur.2005.05.032","volume":"82","author":"K Tanoue","year":"2006","unstructured":"Tanoue K, Sata N, Amitani SA, Yamashita T, Moriyama Y, Miyahara K. Interventricular septal dissection after acute myocardial infarction. Ann Thorac Surg. 2006;82:751.","journal-title":"Ann Thorac Surg"},{"key":"1141_CR5","doi-asserted-by":"publisher","first-page":"1141","DOI":"10.1016\/j.ejcts.2008.03.006","volume":"33","author":"C Yerebakan","year":"2008","unstructured":"Yerebakan C, Westphal B, Liebold A, Steinhoff G. Ventricular septal dissection after patch repair of an infarct-related ventricular septal rupture. Eur J Cardiothorac Surg. 2008;33:1141.","journal-title":"Eur J Cardiothorac Surg"},{"key":"1141_CR6","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1177\/000331978803900310","volume":"39","author":"N Kanemoto","year":"1988","unstructured":"Kanemoto N, Hirose S, Goto Y, Matsuyama S. Disappearing false aneurysm of the ventricular septum without rupture: a complication of acute inferior myocardial infarction\u2013a case report. Angiology. 1988;39:263\u201371.","journal-title":"Angiology"},{"key":"1141_CR7","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/9680891","author":"L Kalvin","year":"2017","unstructured":"Kalvin L, Yousefzai R, Khandheria BK, Paterick TE, Ammar KA. Ventricular septal dissection complicating inferior wall myocardial infarction. Case Rep Cardiol. 2017. https:\/\/doi.org\/10.1155\/2017\/9680891.","journal-title":"Case Rep Cardiol."}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-021-01141-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s40792-021-01141-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-021-01141-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,27]],"date-time":"2021-02-27T12:16:27Z","timestamp":1614428187000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-021-01141-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,27]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1141"],"URL":"https:\/\/doi.org\/10.1186\/s40792-021-01141-7","relation":{},"ISSN":["2198-7793"],"issn-type":[{"type":"electronic","value":"2198-7793"}],"subject":[],"published":{"date-parts":[[2021,2,27]]},"assertion":[{"value":"13 January 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 February 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 February 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"59"}}