Treatment strategies for a giant left ventricular aneurysm and developing ventricular septal defect in a patient after anterior wall myocardial infarction

Successfully operated ischemic left ventricular wall rupture in a patient under chronic steroid treatment

“…LV free wall rupture (LVFWR) is a rare mechanical complication of myocardial infarction, which may progress rapidly despite the absence of clinical signs, leading to sudden death [1,2]. A few clinical studies showed that exposure to corticosteroid treatment might predispose to LVFWR, possibly as a result of increased infarct size, impaired scar formation, and free wall thinning [3].…”

The role of temporary mechanical circulatory support in the effective surgical treatment of left ventricular aneurysm and ventricular septal defect in a patient after anterior wall myocardial infarction

“…Referring to the discussion on effective methods of treatment for patients with a postinfarction left ventricular aneurysm (LVA) and a ventricular septal defect (VSD) [1], we present the case of a 57-year-old man (male) with hypertension, chronic renal failure and Crohn's disease who was admitted to the cardiac surgery department due to cardiogenic shock in the course of acute ST-segment elevation myocardial infarction (MI) of the anterior wall, complicated by rupture of the interventricular septum (IVS) and large LVA within the apex.…”