SS  Vol.2 No.4 , June 2011
Ventricular Septal Defect and Left Ventricular Aneurysm After Acute Myocardial Infarction
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.
Cite this paper: nullK. 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.

[1]   B. S. Crenshaw et al. Risk factors, angiographic patterns, and outcomes in patients with ventricular septal defect complicating acute myocardial infarction. GUSTO-I (Global Utilization of Streptokinase and TPA for Occluded Coronary Arteries) Trial Investigators. Circulation 2000; 101: 27-32.

[2]   S. Pohjola-Sintonen, J. E. Muller, P. H. Stone et al. Ventricular septal and free wall rupture complicating acute myocardial infarction: experience in the Multicenter Investigation of Limitation of Infarct Size. Am Heart J 1989; 117: 809-818.

[3]   Y. Birnbaum, M. C. Fishbein, C. Blanche et al. Ventricular septal rupture after acute myocardial infarction. N Engl J Med 2002; 347: 1426-1432.

[4]   M. H. Dubnow, H. B. Burchell, J. L. Titus. Postinfarction ventricular aneurysm. A clinicomorphologic and electrocardiographic study of 80 cases. Am Heart J 1965; 70: 753-760.

[5]   V. Dor et al. Endoventricular patch reconstruction of ischemic failing ventricle. A single center with 20 years experience. Advantages of magnetic resonance imaging assessment. Heart Fail Rev 2004; 9: 269-286.