Abstract
A combination of left ventricular aneurysm (LVA) and ventricular septal rupture (VSR) in an acute myocardial infarction (AMI) patient presenting as heart failure is extremely rare. Here, we report a rare case of concurrent true inferoposterior LVA and VSR secondary to inferior wall myocardial infarction (IWMI) presenting as chronic heart failure (CHF). To the best of our knowledge, this is the third reported case in the literature.A 61-year-old man, who had an IWMI about one month prior, presented with CHF. Echocardiography revealed true inferoposterior LVA and VSR. Coronary angiography revealed double vessel disease involving the right coronary artery (RCA) and left circumflex artery (LCX). Left ventricular angiography confirmed a large posterobasal aneurysm and VSR. The patient underwent successful coronary artery bypass grafting (CABG) and ventriculoplasty along with VSR patch repair.
Highlights
Mechanical complications after acute myocardial infarction (AMI) are rare and account for
Post-infarction ventricular septal rupture (VSR) is more common in anterior ST-elevation myocardial infarction (STEMI) (60%) located in the anterior or apical portion of the interventricular septum (IVS) [3] as compared to inferoposterior STEMI (20-40%) located in the posterior or inferior portion of IVS [4]
We report an unusual case of concurrent true inferoposterior Left ventricular aneurysm (LVA) and VSR after inferoposterior AMI, who presented late at our medical facility with symptoms of chronic heart failure (CHF)
Summary
Mechanical complications after acute myocardial infarction (AMI) are rare and account for
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