Ventricular Septal Rupture (VSR)

Rupture of the ventricular septum is a serious complication of myocardial infarction. The first few days after infarction, the risk of a VSR is the greatest. This risk decreases rapidly during the following days. Long-term treatment of hypertension and late infarction increase the likelihood of a VSR. The symptoms of rupture of the ventricular septum include severe chest pain and dyspnea. With VSR blood flows from the left to the right. Hence an emergency surgery is necessary and the prognosis depends on the size of the rupture and speed with which action can be taken.

Example [1]

Video	Video
VSR apicoseptaal on AP4CH	VSR apicoseptaal on PLAX

References

1. Boon, N. A., Fox, K.A.A., Bloomfield, P. (1999) Diseases of the cardiovascular system, in: Haslett, C., Chilvers, EUA, Hunter, JAA & Boon, N.A. (eds.), Davidson's Principles and Practice of Medicine, 18th Ed, Churchill Livingstone, London