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[A case of successful surgery for atrial septal defect accompanied with angina pectoris]
Insights
This study shows successful treatment for a patient with atrial septal defect and severe coronary artery blockage. Combined surgery resolved heart issues, relieved chest pain, and allowed return to work.
Area of Science:
- Cardiology
- Cardiovascular Surgery
Background:
- A 59-year-old patient presented with atrial septal defect (ASD) and severe (99%) left anterior descending (LAD) coronary artery stenosis, causing angina pectoris.
- Preoperative assessment revealed right ventricular overload with elevated pulmonary arterial pressure (52 mmHg) and reduced anterior left ventricular wall motion, indicative of myocardial ischemia.
Observation:
- The patient underwent a combined surgical procedure involving ASD closure and coronary artery bypass grafting (CABG) using a saphenous vein graft to the LAD.
Findings:
- The combined surgical intervention successfully normalized the previously observed right ventricular overload and pulmonary hypertension.
- Postoperatively, the anterior segmental wall motion of the left ventricle improved, and the patient experienced complete resolution of angina pectoris.
- The patient was able to return to his previous employment following the successful surgical outcome.
Implications:
- This case highlights the efficacy of combined ASD closure and CABG in managing complex cardiac conditions with concurrent structural and ischemic heart disease.
- Simultaneous surgical correction can lead to significant functional recovery, symptom relief, and improved quality of life for patients with combined cardiac defects.
Abstract:
A 59-year-old patient with atrial septal defect (ASD) and angina pectoris due to 99% stenosis of the anterior descending coronary artery (LAD) was successfully treated by closure of ASD and coronary artery bypass grafting (CABG) to the LAD #7 with a saphenous vein graft. Preoperatively, the right ventricle was overloaded with high pulmonary arterial pressure (52 mmHg) and anterior segmental wall motion of the left ventricle was reduced probably due to myocardial ischemia. Combined operation, ASD closure and CABG, made these impairments normal and resulted in disappearance of the chest pain and reinstatement to his former job.