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“Spot the Wink: The Flashing Red Light in a Failing Heart” – Winking Coronary Sign

Year: 2025

Type: article

Abstract: Ventricular septal rupture (VSR) is a rare but catastrophic mechanical complication of acute myocardial infarction (MI), carrying a high mortality risk. The winking coronary sign (WCS) is a rare but pathognomonic angiographic finding associated with VSR. We report a case of an 80-year-old male presenting with VSR following anterior wall MI, in whom WCS was visualized on coronary angiography. Surgical or device intervention was precluded due to high procedural risk and anatomical complexity, and the patient was managed conservatively.

Source: Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging

DOI: 10.4103/jiae.jiae_76_25

Authors: Govind Surendran Meleveettilkizhipally, Ajmal Nalakathkarappamveetil Muthu, Sajeer Kalathingathodika, Rajesh Gopalan Nair

Institution: Government Medical College

Language: English

Topic: Cardiac Structural Anomalies and Repair

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7117683292

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Cites: 5

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