Acute Ventricular Septal defect (VSD) complicating acute inferior myocardial infarction is an unusual and frequently lethal complication of myocardial infarction. Often, the infarct is not unusually large and the defect is caused by normally contracting myocardium shearing away from adjacent myocardium that is significantly necrotic. In this case, we discuss the clinical course, management, and anticipated outcomes of a young man with an acute VSD.

Course Details

In this course, you will learn:


  • To recognize the clinical significance of cardiac murmur in the setting of a patient who may have had a recent acute myocardial infarction

  • To identify the hemodynamic profiles that are associated with adverse outcomes

  • To describe the considerations regarding optimal timing of cardiac surgery for acute VSD complicating myocardial infarction

Method and medium:

Learners participate in the interactive learning modules by correctly answering multiple choice questions dispersed throughout. Learners will be prompted to try again if a question is answered incorrectly.

The course will open in a new tab – to exit the course, simply close that tab.


Estimated time to Complete: 30 minutes
Credit/contact hours: .5
Expiration date: July 9, 2022
Publication date: July 9, 2019

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Course Authors

Lawrence W Gimple, MD

Dr. Gimple is an attending cardiologist at the University of Virginia Health System with a sub-specialty in interventional cardiology.
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DISCLOSURE: This individual reports no relevant financial relationships with commercial entities.

Michael Ragosta III, MD

Professor of Medicine/Cardiology

Dr. Michael Ragosta is an attending cardiologist at the University of Virginia Health System with a sub-specialty in interventional cardiology. 
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DISCLOSURE: This individual reports no relevant financial relationships with commercial entities.

Christopher Schumann, M.D.

Cardiology Fellow

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DISCLOSURE: This individual reports no relevant financial relationships with commercial entities.