{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T21:12:06Z","timestamp":1760044326256},"reference-count":15,"publisher":"California Digital Library (CDL)","issue":"3","license":[{"start":{"date-parts":[[2020,6,15]],"date-time":"2020-06-15T00:00:00Z","timestamp":1592179200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: Ventricular septal rupture (VSR) is a rare complication of ST-elevation myocardial infarction (STEMI), typically discovered post-revascularization.\n\nCase report: We present the first case of VSR detected on point-of-care ultrasound (POCUS) in the emergency department immediately prior to emergent angiography, with management positively affected by this discovery. The VSR was quickly confirmed via right heart catheterization. Subsequently, hemodynamic stability was achieved using an intra-aortic balloon pump. A delayed surgical VSR repair, with concomitant coronary artery bypass grafting, was implemented for definitive management.\n\nConclusion: This case highlights the utility of POCUS in a STEMI patient with a suspected mechanical complication.<\/jats:p>","DOI":"10.5811\/cpcem.2020.4.47073","type":"journal-article","created":{"date-parts":[[2020,8,12]],"date-time":"2020-08-12T19:31:53Z","timestamp":1597260713000},"page":"407-410","source":"Crossref","is-referenced-by-count":1,"title":["A Case Report: Point-of-care Ultrasound in the Diagnosis of Post-Myocardial Infarction Ventricular Septal Rupture"],"prefix":"10.5811","volume":"4","author":[{"given":"Andrew","family":"Portuguese","sequence":"first","affiliation":[{"name":"University of Rochester Medical Center, Department of Medicine, Rochester, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khaled","family":"Abdulla","sequence":"additional","affiliation":[{"name":"University of Rochester Medical Center, Department of Medicine, Rochester, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Vornovitsky","sequence":"additional","affiliation":[{"name":"University of Rochester Medical Center, Department of Cardiology, Rochester, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"DeAngelis","sequence":"additional","affiliation":[{"name":"University of Rochester Medical Center, Department of Emergency Medicine, Rochester, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2020,6,15]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Pohjola-Sintonen S, Muller JE, Stone PH, et al. Ventricular septal and free wall rupture complicating acute myocardial infarction: experience in the Multicenter Investigation of Limitation of Infarct Size. Am Heart J. 1989;117(4):809-18.","DOI":"10.1016\/0002-8703(89)90617-0"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Moreyra AE, Huang MS, Wilson AC, et al. Trends in incidence and mortality rates of ventricular septal rupture during acute myocardial infarction. Am J Cardiol. 2010;106(8):1095-100.","DOI":"10.1016\/j.amjcard.2010.06.013"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Ibanez B, James S, Agewall S, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the Management of Acute Myocardial Infarction in Patients Presenting with ST-segment Elevation of the European Society of Cardiology (ESC). Eur Heart J. 2018;39(2):119-77.","DOI":"10.15829\/1560-4071-2018-5-103-158"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Chenkin J. Diagnosis of aortic dissection presenting as ST-elevation myocardial infarction using point-Of-care ultrasound. J Emerg Med. 2017;53(6):880-4.","DOI":"10.1016\/j.jemermed.2017.08.012"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Mukherjee A and Fong J. Heartbreak: a case of post-infarction cardiogenic shock. Australian Journal of Ultrasound in Medicine. 2019;22(1):66-71.","DOI":"10.1002\/ajum.12123"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Miller J, Swarbrick L, Abdelhameed B, et al. Point-of-care ultrasound diagnosis of right ventricular rupture post cardiac arrest after thrombolysis in myocardial infarction. Clin Pract Cases Emerg Med. 2019;3(1):85-6.","DOI":"10.5811\/cpcem.2019.1.40664"},{"key":"ref6","unstructured":"Mubarik A and Iqbal AM. (2020). Ventricular septal rupture. In: StatPearls. Treasure Island, FL: StatPearls Publishing."},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Stevenson JG, Kawabori I, Dooley T, et al. Diagnosis of ventricular septal defect by pulsed Doppler echocardiography. Sensitivity, specificity and limitations. Circulation. 1978;58(2):322-6.","DOI":"10.1161\/01.cir.58.2.322"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Crenshaw BS, Granger CB, Birnbaum Y, et al. Risk factors, angiographic patterns, and outcomes in patients with ventricular septal defect complicating acute myocardial infarction. GUSTO-I (Global Utilization of Streptokinase and TPA for Occluded Coronary Arteries) trial nvestigators. Circulation. 2000;101(1):27-32.","DOI":"10.1161\/01.cir.101.1.27"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Poulsen SH, Praestholm M, Munk K, et al. Ventricular septal rupture complicating acute myocardial infarction: clinical characteristics and contemporary outcome. Ann Thorac Surg. 2008;85(5):1591-6.","DOI":"10.1016\/j.athoracsur.2008.01.010"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Menon V, Webb JG, Hillis LD, et al. Outcome and profile of ventricular septal rupture with cardiogenic shock after myocardial infarction: a report from the SHOCK Trial Registry. SHould we emergently revascularize Occluded Coronaries in cardiogenic shocK? J Am Coll Cardiol. 2000;36(3 Suppl A):1110-6.","DOI":"10.3410\/f.718724938.793549604"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Jeppsson A, Liden H, Johnsson P, et al. Surgical repair of post infarction ventricular septal defects: a national experience. Eur J Cardiothorac Surg. 2005;27(2):216-21.","DOI":"10.1016\/j.ejcts.2004.10.037"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Pahuja M, Schrage B, Westermann D, et al. Hemodynamic effects of mechanical circulatory support devices in ventricular septal defect. Circ Heart Fail. 2019;12(7):e005981.","DOI":"10.1161\/circheartfailure.119.005981"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"O\u2019Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF\/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation\/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2013;61(4):e78-e140.","DOI":"10.1002\/ccd.24776"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Muehrcke DD, Daggett WM JR, Buckley MJ, et al. Postinfarct Ventricular Septal Defect Repair: Effect of Coronary Artery Bypass Grafting. Ann Thorac Surg. 1992;54(5):876-882; discussion 882-3.","DOI":"10.1016\/0003-4975(92)90640-p"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2020,9,16]],"date-time":"2020-09-16T19:13:32Z","timestamp":1600283612000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/6434249q"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,15]]},"references-count":15,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020,8,6]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2020.4.47073","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"type":"electronic","value":"2474-252X"},{"type":"print","value":"2474-252X"}],"subject":[],"published":{"date-parts":[[2020,6,15]]}}}