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Implantation of Total Artificial Heart in Congenital Heart Disease
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Unrecognized concomitant ventricular septal rupture and left ventricular aneurysm 10 months after myocardial

Masashi Kawamura1, Osamu Monta2, Kana Shibata2

  • 1Department of Cardiovascular Surgery, Fukui Cardiovascular Center, Shinbo 2-228, Fukui City, Fukui Prefecture, 910-0833, Japan. masashi.kmura@gmail.com.

BMC Cardiovascular Disorders
|November 18, 2021
PubMed

Insights

This case study details a rare instance of combined left ventricular aneurysm and ventricular septal rupture in a patient with chronic heart failure. Surgical intervention successfully repaired both conditions, highlighting tailored treatment approaches.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery

Background:

  • Presents a rare case of concomitant inferior left ventricular aneurysm and ventricular septal rupture.
  • Patient had a history of chronic heart failure, NYHA Functional Classification III.

Observation:

  • An 81-year-old man with congestive heart failure developed ventricular septal rupture and left ventricular aneurysm.
  • Diagnosis confirmed by echocardiography ten months after initial presentation.
  • Ventricular septal rupture involved multiple holes with fibrotic scar tissue from myocardial infarction.

Findings:

  • Successful surgical repair of both ventricular septal rupture and left ventricular aneurysm was performed.
  • Ventricular septal rupture was repaired using a bovine pericardial patch.
  • Aneurysmectomy with a liner technique was utilized for the left ventricular aneurysm.

Implications:

  • Ventricular septal rupture presents with diverse clinical scenarios.
  • Optimizing surgical timing is crucial for managing ventricular septal rupture.
  • This case underscores the importance of individualized treatment strategies for complex cardiac conditions.
Abstract

Keywords:
Chronic heart failureLeft ventricular aneurysmVentricular septal rupture

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