Iranian Heart Journal

Iranian Heart Journal

EXTENSIVE ANTERIOR MYOCARDIAL INFARCTION AND VENTRICULAR SEPTAL RUPTURE CAUSED BY MYOCARDIAL BRIDGE

Authors
Anoushiravan Vakili-Zarch 1
Mohammad Jafar Hashemi 2
Arash Hashemi 1
Shahab Shahrzad
Azin Alizadehasl
Ashkan Hashemi
Ali Hossein Sabet
1 Resident of Cardiology , Rajaie Cardiovascular, Medical and Research Center - Tehran University of medical science, Tehran Iran
2 Corresponding Author: M J Hashemi MD , Associated professor of Interventional cardiology, Rajaie Cardiovascular, Medical and Research Center - Tehran University of Medical Science, Tehran Iran
Abstract
A 45-year-old man was referred to our hospital for angina pectoris 2 days after an anterolateral myocardial infarction. On admission, he had a blood pressure of 100/70 mm Hg and holosystolic murmur at the left sternal border. Transthoracic echocardiography showed akinesia in the apicoseptal, apicoinferior, and apicoposterior regions of the left ventricle, with large apical aneurysm and clot. There was also a large apical ventricular septal defect (VSD) with a significant left-to-right shunt. During cardiac catheterization, the only abnormality found beside the VSD was myocardial bridging in the mid part of the left anterior descending coronary artery and ostial lesion in the first diagonal artery. The patient was scheduled for bypass surgery and VSD closure.
Keywords
VSD
MUSCLE BRIDGE
MI
Iranian Heart Journal
Volume 13, Issue 1
Winter 2012
Pages 49-51