Ventricular septal rupture (VSR) is a rare fatal complication of acute myocard ial infarction (AMI). Here, we present a case of a 70-year-old man in whom VSR had developed after a presumed silent anterior myocardial infarction which was retrospectively proven by the coronary angiographic findings. This case emphasizes that silent myocardial ischemia may have similar severe complications as symptomatic clinical forms of myocardial ischemia.
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