Post-Myocardial Infarction Ventricular Septal Defect Six Months following Coronary Artery Bypass Grafting
DOI:
https://doi.org/10.1532/hsf.1763Abstract
Mechanical complications following acute myocardial infarction are associated with high mortality. We present the first reported case of a new post myocardial infarction ventricular septal defect (VSD) within six months of coronary artery bypass grafting. The patient underwent successful surgical correction of the VSD with the assistance of mechanical circulatory support (MCS). This case highlights the importance of mechanical circulatory support in the management of cardiogenic shock associated with rare complications of myocardial infarction, even after surgical revascularization.
References
Arnaoutakis G, Zhao Y, George T, Sciortino C, McCarthy P, Conte J. 2012. Surgical repair of ventricular septal defect after myocardial infarction: outcomes from the Society of Thoracic Surgeons National Database. Ann Thorac Surg 94:436-44.
Gilotra N, Stevens G. 2014. Temporary mechanical circulatory support: a review of the options, indications, and outcomes. Clin Med Insights Cardiol 8:75-85.
Gold H, Leinbach R, Sanders C, Buckley M, Mundth E, Austen G. 1973. Intraaortic balloon pumping for ventricular septal defect or mitral regurgitation complicating acute myocardial infarction. Circulation 57:1191-6.
LaTorre M, Centofanti P, Attisani M, Patane F, Rinaldi M. 2011. Posterior ventricular septal defect in presence of cardiogenic shock: early implantation of the impella recover LP 5.0 as a bridge to surgery. Tex Heart Inst J 38:42-9.
Shabestari M, Ghaderi F, Hamedanchi A. 2015. Transcatheter closure of postinfarction ventricular septal defect: A case report and review of the literature. J Cardiovasc Thorac Res 7:75-7.
