Akut infero-posterior miyokard enfarktüsü sonrası ventriküler septal rüptür ön tanısı ile ameliyat edilen erişkin bir hastada intraoperatif tanı: Konjenital posterior ventriküler septal defekt

Abstract

Ventricular septal rupture is one of the most important and life-threatening mechanical complications of myocardial infarction. In particular, infero-posterior ventricular septal defect occurring after posterior myocardial infarction is a more catastrophic clinical condition and surgical treatment is more difficult. In an adult patient with myocardial infarction, a ventricular septal defect was found in the posterior ventricular septum. The patient developed pulmonary edema was diagnosed with ventricular septal rupture as a mechanical complication in addition to myocardial infarction. However, while it was observed that ventricular septal rupture did not occur as a mechanical complication due to myocardial infarction in surgical treatment, and it was determined that the patient had a congenital ventricular septal defect accompanying coronary artery disease. Congenital posterior ventricular septal defect was successfully closed with a Dacron patch via right atriotomy. Since we have not encountered such a case in the literature before, we want to present this case