SURGICAL AND CARDIOLOGIC MANAGEMENT IN A PATIENT WITH A LEFT VENTRICULAR ANEURYSM AND A VENTRICULAR SEPTAL DEFECT AFTER ACUTE MYOCARDIAL INFARCTION
Abstract:
The association of an acute ventricular septal defect (VSD) and left ventricular aneurysm
(LVA) is a rare, life-threatening complication of acute myocardial infarction (AMI). We present the
case of an apical VSD and LVA after anterior AMI, in a 71-year-old male patient with a history of
aortic valve replacement, arterial hypertension and atrial fibrillation. An emergency percutaneous
coronary intervention (PCI), with a BMS stent on the left anterior descendent coronary artery was
performed. 3rd day echocardiographic reevaluation revealed LVA and apical VSD. After 35 days of
cardiologic management, the patient underwent ventriculotomy for VSD repair using a bovine
pericardial patch followed by endoventricular patch remodelling of the LVA. He was discharged 16
days after surgery and presented good clinical and echocardiographic evolution during follow-up.
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