Minimal invasive coronary artery bypass and ventricular septal defect repair via left anterior minithoracotomy is a feasible approach for managing post-MI VSD.
Answers are grounded in this paper and cite their sources.
Highlights a rare presentation of ventricular septal defect with concurrent coronary disease; leaves open the optimal.
A 54-year-old male was admitted to our hospital with a prolonged dypsnea, orthopnoea, and chest pain that has lasted for almost 2 weeks. Physical examination revealed symptoms of heart failure. Transthoracic echocardiography revealed a ventricular septal defect located at the apical segment of the interventricular septum, mild mitral regurgitation, and hypokinesia of the apex of the left ventricle. Coronary angiography showed a critical proximal lesion of the left anterior descending artery. He was diagnosed with postmyocardial infarction ventricular septal defect. Our patient underwent minimal invasive coronary artery bypass and ventricular septal defect repair via left anterior minithoracotomy. Postoperative period was uneventful and our patient was released on a postoperative Day 7. Postoperative transthoracic echocardiography revealed no residue of repaired ventricular septal defect with improved left ventricular functions.
No takes yet. Share an insight, caveat, or question.
Kyaruzi et al. (2021) studied this question.
Synapse has enriched 10 related papers. Consider them for comparative context: