Hybrid management of an unusual presentation of acute ischaemic ventricular septal defect.
Acute ischaemic ventricular septal defect (VSD) is a severe complication of acute myocardial infarction. We present the unusual case of a 66-year-old man with a haemodynamically stable acute posterior basal ischemic VSD, who was managed successfully with hybrid primary coronary artery bypass grafting followed by delayed percutaneous VSD closure, with an excellent intermediate-term outcome. We feel this management strategy should be considered in selected patients with acute posterior VSDs and stable clinical status.
Boyle
Matthew J
MJ
Department of Cardiothoracic Surgery, Auckland City Hospital, Private Bag 92024, Auckland Mail Centre, New Zealand. drmattboyle@hotmail.com
Sibal
Amul K
AK
Ruygrok
Peter N
PN
Edwards
Mark
M
Alison
Peter
P
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D006345:Heart Septal Defects, Ventricular / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications