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La rupture septale secondaire a linfarctus du myocarde est une complication aigue redoutable dont la mortalite est non negligeable a la phase precoce. Nous rapportons le cas dune rupture septale chez une patiente de 66 ans admis aux urgences pour prise en charge dun post infarctus de myocarde anterieur etendu qui a decede dansun tableau de choc cardiogenique. Ce cas illustre la gravite des complications mecanique de linfarctus de myocarde. Nous mettons le point sur les facteurs de risque et sur le traitement a proposer pour ce type de complication.
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