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

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BORULU F., ÇALIK E., KILIÇ Y., ERKUT B.

Turkish Journal of Clinics and Laboratory, cilt.12, sa.4, 2021 (Hakemli Dergi) identifier

Özet

Abstract

Ventricular septal rupture is one of the most important and life-threatening mechanical complications of myocardial infarction. In particular, infero-posterior ventricular septal defect occurring after posterior myocardial infarction is a more catastrophic clinical condition and surgical treatment is more difficult. In an adult patient with myocardial infarction, a ventricular septal defect was found in the posterior ventricular septum. The patient developed pulmonary edema was diagnosed with ventricular septal rupture as a mechanical complication in addition to myocardial infarction. However, while it was observed that ventricular septal rupture did not occur as a mechanical complication due to myocardial infarction in surgical treatment, 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. Since we have not encountered such a case in the literature before, we want to present this case.

Keywords: Congenital ventricular septal defect; post MI ventricular septal defect; coronary arterial disease; surgical treatment.