Acute Ventricular Septal Defect Associated with Acute Inferior Myocardial Infarction

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.

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

Author(s): Lawrence W Gimple, MD, Michael Ragosta III, MD, Christopher Schumann, MD

Estimated time to complete: 30 minutes

Credit hours: .5

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.