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Ventricular septal defect complicating delayed presentation of acute myocardial infarction during COVID-19 lockdown: a case report.
Evans, Matthew C; Steinberg, Daniel H; Rhodes, John F; Tedford, Ryan J.
  • Evans MC; Division of Cardiology, Medical University of South Carolina, 30 Courtenay Drive, 326/MSC 592, Charleston, SC 29425, USA.
  • Steinberg DH; Division of Cardiology, Medical University of South Carolina, 30 Courtenay Drive, 326/MSC 592, Charleston, SC 29425, USA.
  • Rhodes JF; Division of Cardiology, Medical University of South Carolina, 30 Courtenay Drive, 326/MSC 592, Charleston, SC 29425, USA.
  • Tedford RJ; Division of Cardiology, Medical University of South Carolina, 30 Courtenay Drive, 326/MSC 592, Charleston, SC 29425, USA.
Eur Heart J Case Rep ; 5(2): ytab027, 2021 Feb.
Article in English | MEDLINE | ID: covidwho-1093499
ABSTRACT

BACKGROUND:

Post-myocardial infarction ventricular septal defects (VSDs) have become rare in the reperfusion era but remain associated with very high morbidity and mortality. As patients defer prompt evaluation and management of acute coronary syndromes during the COVID-19 global pandemic, the incidence of these and other post-infarction mechanical complications is expected to increase. CASE

SUMMARY:

A 37-year-old gentleman with multiple coronary artery disease risk factors presented with intermittent chest discomfort and 1 week of heart failure symptoms. An echocardiogram demonstrated a large muscular VSD and coronary angiography confirmed the presence of an anterior wall infarction. He was subsequently referred for transcatheter VSD repair and showed rapid clinical improvement in his symptoms.

DISCUSSION:

Post-infarction VSDs remain associated with a high degree of morbidity and mortality. Surgical repair of acutely ruptured myocardium can be technically challenging, and transcatheter repair has emerged as a safe and effective alternative.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Experimental Studies / Observational study / Prognostic study Language: English Journal: Eur Heart J Case Rep Year: 2021 Document Type: Article Affiliation country: Ehjcr

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Experimental Studies / Observational study / Prognostic study Language: English Journal: Eur Heart J Case Rep Year: 2021 Document Type: Article Affiliation country: Ehjcr