INTRA-OPERATIVE DIAGNOSIS IN AN ADULT PATIENT OPERATED WITH THE PRE-DIAGNOSIS OF VENTRICULAR SEPTAL RUPTURE AFTER ACUTE INFERO-POSTERIOR MI: CONGENITAL POSTERİOR VENTRICULAR SEPTAL DEFECT

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Çalık E., Erkut B.

I. INTERNATIONAL CONGRESS OF HEALTH SCIENCES AND MULTIDISCIPLINARY APPROACHES, Erzurum, Türkiye, 25 - 27 Kasım 2021

  • Yayın Türü: Bildiri / Tam Metin Bildiri
  • Basıldığı Şehir: Erzurum
  • Basıldığı Ülke: Türkiye
  • Atatürk Üniversitesi Adresli: Evet

Özet

Ventricular septal rupture (VSR) is one of the most important and life-threatening

mechanical complications of myocardial infarction. In particular, infero-posterior ventricular

septal defect (VSD) occurring after posterior myocardial infarction is a more catastrophic

clinical condition and surgical treatment is more difficult.

Detection of congenital posterior VSD in a patient operated with the diagnosis of

coronary artery disease and VSR is the important emphasis of this presentation. Second, the

management of the surgical intervention to be performed is also important. Although several

surgical interventions have been developed for posterior VSD (post MI or congenital), mortality

and complications due to surgical treatment remain high, especially in relation to the transventricular

approach.

In a 57-year-old male patient with inferior myocardial infarction, was admitted our

clinic. A ventricular septal defect was found in the posterior ventricular septum by

echocardiographic examination. The patient developed pulmonary edema was diagnosed with

ventricular septal rupture as a mechanical complication in addition to myocardial infarction.

He was immediately taken into emergency surgery. However, while it was observed that

ventricular septal rupture did not occur as a mechanical complication due to myocardial

infarction during surgery, and it was determined that the patient had a congenital ventricular

septal defect accompanying coronary artery disease. Congenital posterior ventricular septal

defect was successfully closed with a Dacron patch via right atriotomy. And the patient was

discharged without any complications.

If a defect in the posterior ventricular septum is detected in a patient with

myocardial infarction, this defect is probably a septal rupture, but it should be kept in mind that

there may be a congenital posterior ventricular septal defect.

Congenital ventricular septal defect, Coronary arterial disease, Post MI ventricular

septal defect, Surgical treatment.