Home > Journals > Journal of Cardiovascular Medicine and Surgery

Journal of Cardiovascular Medicine and Surgery

Submit your article Read this Journals View all journals
Full Text (PDF)
Original Article

Winking of an Infarct Related Artery Overlying Ventricular Septal Rupture Complicating Acute MI: An Angiographic “Winking Coronary” Sign

Nilesh Oswal, Senior Consultant, Department of Cardiology, U.N. Mehta Institute of Cardiology and Research Centre, Civil Hospital Campus, Ahmedabad, Gujarat 380016, India. , Kamal Sharma* , Nilesh Oswal** , Roopesh Singhal***

Author Information

Licence:



Journal of Cardiovascular Medicine and Surgery 3(2):p 179-183, Jul-Dec 2017. | DOI: http://dx.doi.org/10.21088/jcms.2454.7123.3217.16

How Cite This Article:

Timeline

Received : N/A         Accepted : N/A          Published : N/A

Abstract

Background: Post myocardial infarction -Ventricular septal rupture is a fatal condition needing immediate attention. Objectives: This study intends to report a unique angiographic finding – “Winking coronary” sign of infarct related artery (IRA) overlying the ventricular septal rupture (VSR) complicating acute myocardial infarction (AMI). Materials and Methods: Retrospective analysis of 15 patients (mean age - 62.43 ± 8.4 years) having VSR after AMI were included and coronary angiogram of all these patients were evaluated. Thirteen patients had anterior wall and 2 had inferior wall AMI. Results: Majority of the patients had LAD (n=13; 86.7%) and only 13.3% (n=2) had RCA as an involved IRA. None of the patient showed association of LCX as a culprit artery. Only 1 patient had completely occluded IRA, where as all other (n=14; 93.3%) patients showed winking coronary sign on coronary angiogram. In all 4 patients’ who had undergone surgical closure of VSR, the anatomic site of the “wink” was well correlated with the defect at the time of surgery. Conclusions: “Winking coronary” sign of the IRA is sensitive and specific feature of underlying VSR complicating a case of AMI on coronary angiogram.

 

References

No records found.


About this article

Cite this article

Licence:



Received Accepted Published
N/A N/A N/A
DOI: http://dx.doi.org/10.21088/jcms.2454.7123.3217.16

Keywords

Acute Myocardial Infarction; Ventricular Septal Rupture; Infarct Related Artery; Coronary Angiography. 

Article Level Metrics

Last Updated

Saturday 07 February 2026, 21:06:43 (IST)

207

Accesses

0
39
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received N/A
Accepted N/A
Published N/A

licence




Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share