Evidence map›Paper›PMID 42165477›Full record

ArticleJACC. Case reports2026

Successful Emergent Surgical Repair of Post-Myocardial Infarction Ventricular Septal Rupture With Cardiogenic Shock.

Michel Martins Braga Lima, Wanderson Maia da Silva, Julia Fernandes Aguiar, Nilson Tavares Poppi, Leonardo Vedovato Vilela de Salis, Júlio Zoé de Medeiros Brito, Elinthon Tavares Veronese, Antônio Fernando Diniz Freire, Paulo Rogério Soares, Thiago Luis Scudeler

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Michel Martins Braga LimaInstituto do Coração (InCor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Wanderson Maia da SilvaInstituto do Coração (InCor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Julia Fernandes AguiarInstituto do Coração (InCor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Nilson Tavares PoppiInstituto do Coração (InCor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Leonardo Vedovato Vilela de SalisInstituto do Coração (InCor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Júlio Zoé de Medeiros BritoInstituto do Coração (InCor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Elinthon Tavares VeroneseInstituto do Coração (InCor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Antônio Fernando Diniz FreireInstituto do Coração (InCor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Paulo Rogério SoaresInstituto do Coração (InCor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Thiago Luis ScudelerInstituto do Coração (InCor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. Electronic address: thiago.scudeler@fm.usp.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-myocardial infarction (MI) ventricular septal rupture (VSR) is a rare mechanical complication associated with very high mortality, particularly when complicated by cardiogenic shock. CASE SUMMARY: A 58-year-old woman presented with anterior ST-segment elevation MI after failed thrombolysis, rapidly progressing to cardiogenic shock and cardiac arrest. Coronary angiography revealed proximal left anterior descending artery occlusion and a large mid-septal VSR. Despite refractory shock requiring vasopressors and intra-aortic balloon pump support, emergent surgical repair with bovine pericardial patch closure and concomitant coronary artery bypass grafting was performed. The patient experienced hemodynamic recovery, later requiring cardiac resynchronization therapy pacemaker for advanced atrioventricular block, and was discharged in stable condition. DISCUSSION: Emergent surgical repair of post-MI VSR may be lifesaving even in extreme clinical scenarios when guided by rapid diagnosis and coordinated multidisciplinary care. TAKE-HOME MESSAGE: Early recognition and prompt multidisciplinary intervention are critical for survival in catastrophic post-MI VSR.

Indexed as

cardiac surgerycardiogenic shockmechanical complicationsmyocardial infarctionventricular septal rupture

Identifiers

PMID42165477
PMCPMC13198094

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.