title: Hybrid management of an unusual presentation of acute ischaemic ventricular septal defect.
abstract: 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.
authors.affiliation: Department of Cardiothoracic Surgery, Auckland City Hospital, Private Bag 92024, Auckland Mail Centre, New Zealand. drmattboyle@hotmail.com
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Boyle
authors.forename: Amul K
authors.initials: AK
authors.lastname: Sibal
authors.forename: Peter N
authors.initials: PN
authors.lastname: Ruygrok
authors.forename: Mark
authors.initials: M
authors.lastname: Edwards
authors.forename: Peter
authors.initials: P
authors.lastname: Alison
mesh_terms: 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