Late Presentation of an Inferior Myocardial Infarction Compl
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Ventricular septal rupture (VSR) is a well-known and potentially fatal complication following acute myocardial infarction. In the pre-thrombolytic era, the incidence was 1-2% but has since declined to 0.17-0.31% with the advent of reperfusion therapy. VSRs have been reported to occur 16 - 24 h after acute myocardial infarction in the reperfusion era as opposed to 3 - 5 days previously. The hypothesis for earlier development of VSR is due to reperfusion injury and fibrinolysis. This article describes a case of delayed presentation inferior myocardial infarction complicated by VSR requiring early surgery.

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