Hybrid management of an unusual presentation of acute ischaemic ventricular septal defect
Boyle, M.J.; Sibal, A.K.; Ruygrok, P.N.; Edwards, M.; Alison, P.
New Zealand Medical Journal 121(1285): 119-122
2008
ISSN/ISBN: 0028-8446 PMID: 19079444 Document Number: 618755
Acute ischaemic ventricular septal defect (VSD) is a severe complication of acute myocardial infarction. We present the unusual case of a 66-year-old man with a haemodynamically stable acute posterior basal ischemic VSD, who was managed successfully with hybrid primary coronary artery bypass grafting followed by delayed percutaneous VSD closure, with an excellent intermediate-term outcome. We feel this management strategy should be considered in selected patients with acute posterior VSDs and stable clinical status.