Unrecognized concomitant ventricular septal rupture and left ventricular aneurysm 10 months after myocardial infarction in a patient presenting with chronic heart failure

Abstract Background We report a rare case of concomitant inferior left ventricular aneurysm and ventricular septal rupture in a patient presenting with chronic heart failure. Case presentation An 81-year-old man suffered from congestive heart failure. His symptoms were alleviated by medical manageme...

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Autores principales:	Masashi Kawamura, Osamu Monta, Kana Shibata, Yasushi Tsutsumi
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Ventricular septal rupture Left ventricular aneurysm Chronic heart failure Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/31eb527b2bbc4d7baced6d67716e1f22
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spelling	oai:doaj.org-article:31eb527b2bbc4d7baced6d67716e1f222021-11-21T12:04:00ZUnrecognized concomitant ventricular septal rupture and left ventricular aneurysm 10 months after myocardial infarction in a patient presenting with chronic heart failure10.1186/s12872-021-02360-41471-2261https://doaj.org/article/31eb527b2bbc4d7baced6d67716e1f222021-11-01T00:00:00Zhttps://doi.org/10.1186/s12872-021-02360-4https://doaj.org/toc/1471-2261Abstract Background We report a rare case of concomitant inferior left ventricular aneurysm and ventricular septal rupture in a patient presenting with chronic heart failure. Case presentation An 81-year-old man suffered from congestive heart failure. His symptoms were alleviated by medical management; however, heart failure symptoms continued according to the New York Heart Association Functional Classification III. Ten months after presentation, ventricular septal rupture was diagnosed using echocardiography. The left ventricular aneurysm was also complicated. Surgical repair of the ventricular septal rupture and left ventricular aneurysm was successfully performed. The ventricular septal rupture consisted of multiple holes, and the infarcted myocardium had already progressed to firm, fibrotic scar tissue. We closed the ventricular septal rupture with a small bovine pericardial patch and performed an aneurysmectomy with a liner technique. Conclusions Cases of ventricular septal rupture can have various clinical scenarios, and treatment should be optimized for each patient, especially with respect to the timing of surgery.Masashi KawamuraOsamu MontaKana ShibataYasushi TsutsumiBMCarticleVentricular septal ruptureLeft ventricular aneurysmChronic heart failureDiseases of the circulatory (Cardiovascular) systemRC666-701ENBMC Cardiovascular Disorders, Vol 21, Iss 1, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ventricular septal rupture Left ventricular aneurysm Chronic heart failure Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Ventricular septal rupture Left ventricular aneurysm Chronic heart failure Diseases of the circulatory (Cardiovascular) system RC666-701 Masashi Kawamura Osamu Monta Kana Shibata Yasushi Tsutsumi Unrecognized concomitant ventricular septal rupture and left ventricular aneurysm 10 months after myocardial infarction in a patient presenting with chronic heart failure
description	Abstract Background We report a rare case of concomitant inferior left ventricular aneurysm and ventricular septal rupture in a patient presenting with chronic heart failure. Case presentation An 81-year-old man suffered from congestive heart failure. His symptoms were alleviated by medical management; however, heart failure symptoms continued according to the New York Heart Association Functional Classification III. Ten months after presentation, ventricular septal rupture was diagnosed using echocardiography. The left ventricular aneurysm was also complicated. Surgical repair of the ventricular septal rupture and left ventricular aneurysm was successfully performed. The ventricular septal rupture consisted of multiple holes, and the infarcted myocardium had already progressed to firm, fibrotic scar tissue. We closed the ventricular septal rupture with a small bovine pericardial patch and performed an aneurysmectomy with a liner technique. Conclusions Cases of ventricular septal rupture can have various clinical scenarios, and treatment should be optimized for each patient, especially with respect to the timing of surgery.
format	article
author	Masashi Kawamura Osamu Monta Kana Shibata Yasushi Tsutsumi
author_facet	Masashi Kawamura Osamu Monta Kana Shibata Yasushi Tsutsumi
author_sort	Masashi Kawamura
title	Unrecognized concomitant ventricular septal rupture and left ventricular aneurysm 10 months after myocardial infarction in a patient presenting with chronic heart failure
title_short	Unrecognized concomitant ventricular septal rupture and left ventricular aneurysm 10 months after myocardial infarction in a patient presenting with chronic heart failure
title_full	Unrecognized concomitant ventricular septal rupture and left ventricular aneurysm 10 months after myocardial infarction in a patient presenting with chronic heart failure
title_fullStr	Unrecognized concomitant ventricular septal rupture and left ventricular aneurysm 10 months after myocardial infarction in a patient presenting with chronic heart failure
title_full_unstemmed	Unrecognized concomitant ventricular septal rupture and left ventricular aneurysm 10 months after myocardial infarction in a patient presenting with chronic heart failure
title_sort	unrecognized concomitant ventricular septal rupture and left ventricular aneurysm 10 months after myocardial infarction in a patient presenting with chronic heart failure
publisher	BMC
publishDate	2021
url	https://doaj.org/article/31eb527b2bbc4d7baced6d67716e1f22
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Unrecognized concomitant ventricular septal rupture and left ventricular aneurysm 10 months after myocardial infarction in a patient presenting with chronic heart failure

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