NDLI: Persistent Winking Coronary Sign in a Case of Post-myocardial Infarction Ventricular Septal Rupture After Device Closure.

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Persistent Winking Coronary Sign in a Case of Post-myocardial Infarction Ventricular Septal Rupture After Device Closure.

Content Provider	Europe PMC
Author	Sarkar, Souvik Agrawal, Gajendra Khadse, Satish Chaturvedi, Anuj
Editor	Muacevic, Alexander Adler, John R
Copyright Year	2023
Abstract	A winking coronary sign refers to the partial collapse of an artery situated over the ventricular septal rupture during systole and refilling of the same during diastole, which is seen as phasic filling and disappearance of the arterial segment during coronary angiography. In this article, we discuss the case of a patient who reported to the emergency department of a tertiary care hospital in central India with myocardial infarction of the anterior wall. Two-dimensional echocardiography and coronary angiography revealed ventricular septal rupture. The patient was promptly managed by a percutaneous coronary angiography and interventricular septal device closure. Even after the defect closure, the winking coronary sign persisted on coronary angiography, and the patient was then discharged in stable condition.
Journal	Cureus
Volume Number	15
DOI	10.7759/cureus.39167
PubMed Central reference number	PMC10276187
Issue Number	5
PubMed reference number	37332463
e-ISSN	21688184
Language	English
Publisher	Cureus
Publisher Date	2023-05-17
Publisher Place	Palo Alto (CA)
Access Restriction	Open
Subject Keyword	percutaneous arterial closure device ventricular septal rupture coronary angiography post-myocardial infarction ventricular septal rupture winking coronary sign
Content Type	Text
Resource Type	Case study
Subject	Medicine

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