Successful early surgical treatment of a post-MINOCA ventricular septal defect
Riccardo Codecasa1, Francesco Cabrucci1, Beatrice Bacchi1
1Cardiac Surgery, Careggi University Hospital, Florence, Italy.
Background:
Acquired ventricular septal defect (VSD) is a life-threatening condition that occurred after a myocardial infarction (MI). The timing of the intervention remains very debated but it is crucial to choose the right surgical technique to obtain a stable and complete repair.
Methods:
We report the case of an acquired VSD that occurred after a MI without obstructions of coronary arteries (MINOCA). The defect was promptly treated with a double patch plus glue sandwich technique.
Results:
At the end of the procedure, echocardiographic data showed no residual shunt, and no major adverse cardiac and cerebrovascular events were reported during postoperative days or 6 months follow-up.
Conclusion:
Our report suggests that MI's mechanical complications can occur even after a MINOCA.
