NDLI: A Case Report of a Double Catastrophe: True Left Ventricular Aneurysm and Ventricular Septal Rupture Complicating Acute Myocardial Infarction and Presenting as Chronic Heart Failure.

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A Case Report of a Double Catastrophe: True Left Ventricular Aneurysm and Ventricular Septal Rupture Complicating Acute Myocardial Infarction and Presenting as Chronic Heart Failure.

Content Provider	Europe PMC
Author	Khanal, Suraj Ghosh, Soumitra Mishra, Anand K
Editor	Muacevic, Alexander Adler, John R
Copyright Year	2020
Abstract	A combination of left ventricular aneurysm (LVA) and ventricular septal rupture (VSR) in an acute myocardial infarction (AMI) patient presenting as heart failure is extremely rare. Here, we report a rare case of concurrent true inferoposterior LVA and VSR secondary to inferior wall myocardial infarction (IWMI) presenting as chronic heart failure (CHF). To the best of our knowledge, this is the third reported case in the literature. A 61-year-old man, who had an IWMI about one month prior, presented with CHF. Echocardiography revealed true inferoposterior LVA and VSR. Coronary angiography revealed double vessel disease involving the right coronary artery (RCA) and left circumflex artery (LCX). Left ventricular angiography confirmed a large posterobasal aneurysm and VSR. The patient underwent successful coronary artery bypass grafting (CABG) and ventriculoplasty along with VSR patch repair.
Journal	Cureus
Volume Number	12
DOI	10.7759/cureus.11292
PubMed Central reference number	PMC7707883
Issue Number	11
PubMed reference number	33274165
e-ISSN	21688184
Language	English
Publisher	Cureus
Publisher Date	2020-11-02
Publisher Place	Palo Alto (CA)
Access Restriction	Open
Subject Keyword	ventricular septal rupture acute myocardial infarction heart failure ventricular wall aneurysm
Content Type	Text
Resource Type	Case study
Subject	Medicine

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