Ventricular Septal Defect and Left Ventricular Aneurysm After Acute Myocardial Infarction

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DOI: 10.4236/ss.2011.24038    5,088 Downloads   8,496 Views  

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ABSTRACT

The combination of an acute ventricular septal defect (VSD) and left ventricular aneurysm (LVA) is a rare, life-threatening complication which usually occurs within the first week following acute myocardial infarct- tion (AMI). We describe the case of an apical VSD and LVA in a 77-year-old diabetic and dyslipidemic male patient after anterior AMI. The patient was an active smoker and had a history of chronic obstructive pulmonary disease, arterial hypertension and atrial fibrillation. The patient underwent ventriculotomy for VSD repair using a large equine pericardial patch followed by intraventricular patch remodelling of the LVA. He was discharged 2 months after surgery and underwent a successful hip replacement 10 months later.

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K. Azarnoush, M. Manca, A. Innorta and L. Camilleri, "Ventricular Septal Defect and Left Ventricular Aneurysm After Acute Myocardial Infarction," Surgical Science, Vol. 2 No. 4, 2011, pp. 175-176. doi: 10.4236/ss.2011.24038.

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