Acute ischaemic ventricular inferoseptal defect in a pyretic patient: a diagnostic challenge.
A 78-year-old Caucasian male presented with a 5-day progressive history of fever, vomiting and dyspnoea. Initial clinical examination revealed fever, sinus tachycardia, hypotension, peripheral cyanosis and a systolic murmur. Investigations revealed a multiple organ dysfunction syndrome. A repeat trans-thoracic echocardiogram showed a basal inferoseptum aneurysm associated with an acquired ventricular septal defect not demonstrated on initial scan. An intra-aortic balloon pump was urgently inserted and he underwent surgical repair of the defect, 7 days after his initial presentation. He unfortunately died from postoperative complications.
Cardiology Department, Queens Hospital, London, UK.
Martina
M
Muscat
Etienne
E
Laverse
Zaka
Z
Haq
Anwar Ahmad
AA
Chahal
Javed
J
Akhtar
D000208:Acute Disease; D000368:Aged; D005334:Fever / Q000209:etiology; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000150:complications / Q000175:diagnosis*