Myocardial Infarction Presenting as Both Left Ventricular Aneurysm and Ventricular Septal Defect

• Published in: European journal of case reports in internal medicine Vol. 11; no. 3; p. 004145
• Main Authors: Khandait, Harshwardhan, Elkattawy, Sherif, Romero, Jesus E, Romero, Ana L, Abboud, Rachel, Shamoon, Yezin F, Elkattawy, Omar, Elhouda Elassa, Nour, Musleh, Gamal, Shamoon, Fayez E, Joshi, Meherwan
• Format: Journal Article
• Language: English
• Published: Italy SMC Media Srl 2024; SMC MEDIA SRL
• Subjects: acute coronary syndrome; left ventricular aneurysm; ventricular septal defect; Ventricular septal defect; left ventricular aneurysm; acute coronary syndrome
• ISSN: 2284-2594; 2284-2594
• DOI: 10.12890/2024_004145

Acute myocardial infarction can result in various mechanical complications, although they have become rare with the advent of reperfusion therapies. Among these complications, ventricular septal rupture (VSR) and left ventricular aneurysm (LVA) are infrequent but life-threatening conditions associated with high morbidity and mortality. We present a rare case of a 67-year-old male with acute myocardial infarction who developed concomitant apical LVA and ventricular septal rupture.
Mechanical complications of myocardial infarction, such as a ventricular septal rupture (VSR) and left ventricular aneurysm (LVA), are rare but life-threatening.Early diagnosis is critical. A ventricular septal defect (VSD) requires immediate surgical closure, while surgery for LVA is only considered in specific cases such as chest pain or thromboembolism.Diagnostic tools such as echocardiography and left ventriculography play a vital role in identifying and characterising these complications, enabling timely treatment decisions.