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

被引:6
作者
Evans, Matthew C. [1 ]
Steinberg, Daniel H. [1 ]
Rhodes, John F. [1 ]
Tedford, Ryan J. [1 ]
机构
[1] Med Univ South Carolina, Div Cardiol, 30 Courtenay Dr,326 MSC 592, Charleston, SC 29425 USA
关键词
Ventricular septal defect; Acute MI; COVID-19; Case report; TRANSCATHETER CLOSURE; RISK-FACTORS;
D O I
10.1093/ehjcr/ytab027
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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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页数:6
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