Postinfarction ventricular septal defect with posterior ventricular aneurysm. Result of a single distal right coronary artery obstruction.
A patient with postinfarction ventricular septal defect, posterior aneurysm, severe congestive heart failure, and significant atherosclerosis in the distal right coronary artery only is reported. Closure of the defect resulted in quich recovery of the patient. We demonstrated that a single significant lesion in one coronary artery can cause rupture of the interventricular septum.
D017023:Coronary Angiography; D003331:Coronary Vessels; D006322:Heart Aneurysm / Q000209:etiology*; D006346:Heart Septum / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D012422:Rupture, Spontaneous