Ventricular septal defect complicating delayed presentation of acute myocardial infarction during COVID-19 lockdown: a case report.
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. CASESUMMARY:
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.
Full text:
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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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