Coronary artery bypass grafting with postinfarction ventricular septal defect and with ventricular pseudoaneurysm

Author(s):  
Mitesh V. Badiwala

Postinfarction ventricular septal defect and ventricular pseudoaneurysm are rare complications of acute transmural myocardial infarction. Because they are rare, surgical experience with these conditions is limited but advancements in surgical technique have resulted in improved survival. The infarction exclusion technique for repair of postinfarction ventricular septal defect in particular has resulted in significant survival benefit. Concomitant coronary artery bypass grafting has been demonstrated to improve long-term survival in those patients undergoing ventricular septal defect repair.

1992 ◽  
Vol 54 (5) ◽  
pp. 876-883 ◽  
Author(s):  
Derek D. Muehrcke ◽  
Willard M. Daggett ◽  
Mortimer J. Buckley ◽  
Cary W. Akins ◽  
Alan D. Hilgenberg ◽  
...  

2020 ◽  
Vol 35 (5) ◽  
pp. 1062-1071
Author(s):  
Dylan P. Horan ◽  
Thomas J. O'Malley ◽  
Matthew P. Weber ◽  
Elizabeth J. Maynes ◽  
Jae Hwan Choi ◽  
...  

2017 ◽  
Vol 20 (4) ◽  
pp. 162
Author(s):  
Amy G Fiedler ◽  
Thoralf M. Sundt III ◽  
George Tolis

Mechanical complications following acute myocardial infarction are associated with high mortality. We present the first reported case of a new post myocardial infarction ventricular septal defect (VSD) within six months of coronary artery bypass grafting. The patient underwent successful surgical correction of the VSD with the assistance of mechanical circulatory support (MCS). This case highlights the importance of mechanical circulatory support in the management of cardiogenic shock associated with rare complications of myocardial infarction, even after surgical revascularization.


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