Surgical management of post-infarction ventricular septal defect, mitral regurgitation and ventricular aneurysm

• DOI: 10.1093/jscr/rjz256
• Publication Date: 2019-08-04T07:10:39Z
• Authors: Samuel Belete; Karan Punjabi; Jonathan Afoke; Jonathan Anderson
• Keywords: Left Ventricular Aneurysm; Ventricular aneurysm; Transthoracic echocardiogram

A 49-year-old diabetic male was admitted to a hospital in 2018 following 3-week history of worsening dyspnoea and pedal oedema. Early review investigations indicated acute heart failure. Transthoracic echocardiogram (TTE) revealed mitral regurgitation (MR), aneurysmal change the ventricles, ventricular septal defect (VSD) systolic dysfunction. Coronary angiogram demonstrated significant left anterior descending right coronary artery disease. He diagnosed with late presenting myocardial infarction (MI) secondary mechanical complications. Mechanical complications MI frequently require surgical intervention. The patient underwent repair VSD, valve repair, excision segment bypass grafting. Post-operative recovery complicated by sternal wound infection managed conjunction plastic surgeons. post-operative TTE showed repaired septum no residual MR. recognition appropriate medical optimisation are required achieve good outcomes.