F/u from Dr Sullivan's CPC of a patient who presented with an acute MI and sustained a septal rupture developing an acute VSD. Despite odds against it, this patient survived with emergent CT surgical intervention.
Mechanical complications of AMI (free wall rupture, septal rupture, papillary muscle rupture w/ acute MR, RVMI, and cardiogenic shoc) are all favorites of medicine test writers. I will refer you to this recent Cleveland Clinic CME website for the latest and greatest - review this for boards / inservice!
Steroid therapy, which this patient had recieved, is an identified risk factor for myocardial rupture in some reports, but this link has been debated.
Review of topics covered in morning report, M&m, and core conferences with links to supplemental reading material.
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