Key result
Post-MI ventricular septal defect and heart failure occur despite angiographically normal coronary arteries.
Why the study?
Ventricular septal defect is a rare but potentially fatal complication of acute myocardial infarction that can occur even in patients with normal coronary arteries, with unclear pathogenesis.
Case Report (n=1)
No
This case highlights that ventricular septal defect, a rare and potentially fatal complication of acute myocardial infarction, can occur even in patients with angiographically normal coronary arteries.
Alerts clinicians to post-MI VSD despite normal coronaries; leaves open mechanisms and requires prospective confirmation.
Ventricular septal defect is a rare but potentially fatal complication of acute myocardial infarction. It usually occurs during the first episode of myocardial infarction, most often in patients with single vessel coronary artery disease and total occlusion of the culprit vessel, in the absence of an adequate collateral circulation. However, this complication is observed in patients with myocardial infarction with normal coronary arteries and its pathogenesis may be attributed to different mechanisms such as inflammation, hypercoagulable state or coronary vasospasm. We report the case of a 59-year-old female patient with anteroseptal myocardial infarction developed 4 days after admission, complicated by ventricular septal defect with signs of congestive heart failure and angiographically normal coronary arteries.
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Anchisi et al. (2014) conducted a case report in Anteroseptal myocardial infarction complicated by ventricular septal defect (n=1). Anteroseptal myocardial infarction with normal coronary arteries was evaluated on Ventricular septal defect with congestive heart failure. A 59-year-old female developed a ventricular septal defect and congestive heart failure 4 days after an anteroseptal myocardial infarction despite having angiographically normal coronary arteries.
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