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{
    "pk": 847,
    "title": "A Case Report: Point-of-care Ultrasound in the Diagnosis of Post-Myocardial Infarction Ventricular Septal Rupture",
    "subtitle": null,
    "abstract": "Introduction:\n Ventricular septal rupture (VSR) is a rare complication of ST-elevation myocardial infarction (STEMI), typically discovered post-revascularization.\nCase report:\n We present the first case of VSR detected on point-of-care ultrasound (POCUS) in the emergency department immediately prior to emergent angiography, with management positively affected by this discovery. The VSR was quickly confirmed via right heart catheterization. Subsequently, hemodynamic stability was achieved using an intra-aortic balloon pump. A delayed surgical VSR repair, with concomitant coronary artery bypass grafting, was implemented for definitive management.\nConclusion:\n This case highlights the utility of POCUS in a STEMI patient with a suspected mechanical complication.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Coronary artery disease"
        },
        {
            "word": "mechanical circulatory support"
        },
        {
            "word": "ST-elevation myocardial infarction"
        },
        {
            "word": "ventricular septal rupture"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/6434249q",
    "frozenauthors": [
        {
            "first_name": "Andrew",
            "middle_name": "J.",
            "last_name": "Portuguese",
            "name_suffix": "",
            "institution": "University of Rochester Medical Center, Department of Medicine, Rochester, New York",
            "department": "None"
        },
        {
            "first_name": "Khaled",
            "middle_name": "H.",
            "last_name": "Abdulla",
            "name_suffix": "",
            "institution": "University of Rochester Medical Center, Department of Medicine, Rochester, New York",
            "department": "None"
        },
        {
            "first_name": "Michael",
            "middle_name": "",
            "last_name": "Vornovitsky",
            "name_suffix": "",
            "institution": "University of Rochester Medical Center, Department of Cardiology, Rochester, New York",
            "department": "None"
        },
        {
            "first_name": "John",
            "middle_name": "",
            "last_name": "DeAngelis",
            "name_suffix": "",
            "institution": "University of Rochester Medical Center, Department of Emergency Medicine, Rochester, New York",
            "department": "None"
        }
    ],
    "date_submitted": "2020-06-16T03:33:36+08:00",
    "date_accepted": "2020-06-16T03:33:36+08:00",
    "date_published": "2020-06-16T03:34:22+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/847/galley/599/download/"
        }
    ]
}