Intra-operative diagnosis in an adult patient operated with the pre-diagnosis of ventricular septal rupture after acute infero-posterior mı: congenital posterior ventricular septal defect

Çalık E., Erkut B.

I. INTERNATIONAL CONGRESS OF HEALTH SCIENCES AND MULTIDISCIPLINARY APPROACHES , Erzurum, Türkiye, 25 - 27 Kasım 2021, ss.578-585

  • Yayın Türü: Bildiri / Tam Metin Bildiri
  • Basıldığı Şehir: Erzurum
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.578-585
  • Atatürk Üniversitesi Adresli: Evet

Özet

ABSTRACT Aim: 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. Method: 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. Results: 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. Conclusion: 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. Key words: Congenital ventricular septal defect, Coronary arterial disease, Post MI ventricular septal defect, Surgical treatment.