A rare case of concurrent left ventricular aneurysm and ventricular septal rupture complicating an inferior myocardial infarction: a case report

Complications following acute myocardial infarction (MI) such as ventricular septal rupture (VSR) and left ventricular (LV) aneurysm are rare and can be dreadful. Their simultaneous presence in the same patient is extremely rare. We aimed to present a rare case of concomitant association of ventricu...

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Veröffentlicht in:The Pan African medical journal 2023-06, Vol.45
Hauptverfasser: Drissa, Mariem, Azaiez, Fares, Jaoued, Fekher, Khelifa, Rouaida, Lagha, Elyes, Romdhane, Rim Ben, Tlili, Rami, Ameur, Youssef Ben
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container_title The Pan African medical journal
container_volume 45
creator Drissa, Mariem
Azaiez, Fares
Jaoued, Fekher
Khelifa, Rouaida
Lagha, Elyes
Romdhane, Rim Ben
Tlili, Rami
Ameur, Youssef Ben
description Complications following acute myocardial infarction (MI) such as ventricular septal rupture (VSR) and left ventricular (LV) aneurysm are rare and can be dreadful. Their simultaneous presence in the same patient is extremely rare. We aimed to present a rare case of concomitant association of ventricular aneurysm and VSR complicating an inferior myocardial infarction. We report the unusual case of Mr. A. D, a 63-year-old, active smoker, with a history of diabetes mellitus and hypertension, admitted for the management of inferior MI within 6 days. The MI was complicated by an LV aneurysm in the inferoposterior and the inferoseptal walls associated with a VSR in the inferoseptal wall. The patient had only signs of right heart failure on admission. This observation illustrates on the one hand the rarity of the association of VSR and LV aneurysm after an inferior myocardial infarction, and on the other hand the possibility of founding them at an early stage of MI without any signs of cardiogenic shock.
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title A rare case of concurrent left ventricular aneurysm and ventricular septal rupture complicating an inferior myocardial infarction: a case report
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