A 35 YEARS OLD FEMALE PATIENT WITH VENTRICULAR SEPTAL RUPTURE,

A RARE COMPLICATION OF STEMI

1
Sinda Agatha, 2Sanggap Indra Sitompul
Cardiovascular Division, dr. Doris Sylvanus Hospital Palangka Raya

Background: Ventricular septal rupture is

a rare complication seen in approximately
1-2%.1 VSR is commonly from 24 hours up
to 5 days of presentation with AMI.2
Objective/Aims: to report case of VSR in
late presentation of STEMI
Case: a 37 years old female with not
controlled hypertention presented to
Emergency Departement with acute onset
chest pain. Further history showed on
episode of chest pain 5 days ago. Her
vitals were stable. Electrocardiographic
demonstarted anterior lead ST segmen
elevation (Figure 1).
Figure 1. Anterior lead ST Segmen
elevation
Troponin I was >15.00 ng/mL.
Echocardiography showed left ventricular
hypertrophy, tricuspid regurgitation, and
VSR with a left to right shunt (Figure 2).
Figure 2. Echocardiography showed LVH,
TR, and VSR
Medication given to patient were
atrovastatin 20 mg, briclot 90 mg, aspilet
80 mg, Dopamine in syringe pump 3
mcg/kg/minute, furosemide 20 mg, and
heparin syringe pump 1000 unit/24 hours.
Discussion: This case illustrates VSR from
complication of late presentation STEMI.
The diagnose was made by
echocardiography present LVH, TR, and
VSR left to right shunt. VSR has a bimodal
peak: 24 hours-5 days. Risk factors of VSR
are age >60 years, female, no previous MI,
LAD diseases.
Conclusion: This case report a 37 years
old female patient with VSR from
complication of late presentation STEMI.
Reference:
Keyword: VSR, STEMI, chest pain