Khanal Suraj, Ghosh Soumitra, Mishra Anand K
Cardiology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, IND.
Cardiac Surgery, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, IND.
Cureus. 2020 Nov 2;12(11):e11292. doi: 10.7759/cureus.11292.
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.
急性心肌梗死（AMI）患者出现心力衰竭时合并左心室室壁瘤（LVA）和室间隔破裂（VSR）极为罕见。在此，我们报告一例罕见病例，一名因下壁心肌梗死（IWMI）继发真性下后壁LVA和VSR并表现为慢性心力衰竭（CHF）的患者。据我们所知，这是文献报道的第三例。一名61岁男性，约1个月前发生IWMI，现出现CHF。超声心动图显示真性下后壁LVA和VSR。冠状动脉造影显示双支血管病变，累及右冠状动脉（RCA）和左旋支动脉（LCX）。左心室造影证实存在巨大后基底壁瘤和VSR。该患者成功接受了冠状动脉旁路移植术（CABG）、心室成形术以及VSR补片修补术。
