A rare case of concurrent left ventricular aneurysm and ventricular septal rupture complicating an inferior myocardial infarction: a case report.


Journal

The Pan African medical journal
ISSN: 1937-8688
Titre abrégé: Pan Afr Med J
Pays: Uganda
ID NLM: 101517926

Informations de publication

Date de publication:
2023
Historique:
received: 10 03 2023
accepted: 07 04 2023
medline: 5 9 2023
pubmed: 4 9 2023
entrez: 4 9 2023
Statut: epublish

Résumé

Complications following acute myocardial infarction (MI) such as ventricular septal rupture (VSR) and left ventricular (LV) aneurysm are rare and can be dreadful. Their simultaneous presence in the same patient is extremely rare. We aimed to present a rare case of concomitant association of ventricular aneurysm and VSR complicating an inferior myocardial infarction. We report the unusual case of Mr. A. D, a 63-year-old, active smoker, with a history of diabetes mellitus and hypertension, admitted for the management of inferior MI within 6 days. The MI was complicated by an LV aneurysm in the inferoposterior and the inferoseptal walls associated with a VSR in the inferoseptal wall. The patient had only signs of right heart failure on admission. This observation illustrates on the one hand the rarity of the association of VSR and LV aneurysm after an inferior myocardial infarction, and on the other hand the possibility of founding them at an early stage of MI without any signs of cardiogenic shock.

Identifiants

pubmed: 37663629
doi: 10.11604/pamj.2023.45.74.39612
pii: PAMJ-45-74
pmc: PMC10474810
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

74

Informations de copyright

Copyright: Mariem Drissa et al.

Déclaration de conflit d'intérêts

The authors declare no competing interests.

Références

Eur Heart J. 2018 Jan 7;39(2):119-177
pubmed: 28886621
CASE (Phila). 2017 Nov 15;2(1):20-23
pubmed: 30062300
Eur Heart J Case Rep. 2018 Nov 27;2(4):yty136
pubmed: 31020212
Cureus. 2020 Nov 2;12(11):e11292
pubmed: 33274165
N Engl J Med. 2002 Oct 31;347(18):1426-32
pubmed: 12409546
J Am Coll Cardiol. 2013 Jan 29;61(4):e78-e140
pubmed: 23256914
J Am Heart Assoc. 2014 Oct 20;3(5):e001368
pubmed: 25332182

Auteurs

Mariem Drissa (M)

Department of Cardiology, Mongi Slim Hospital, Tunis, Tunisia.

Fares Azaiez (F)

Department of Cardiology, Mongi Slim Hospital, Tunis, Tunisia.

Fekher Jaoued (F)

Department of Cardiology, Mongi Slim Hospital, Tunis, Tunisia.

Rouaida Khelifa (R)

Department of Cardiology, Mongi Slim Hospital, Tunis, Tunisia.

Elyes Lagha (E)

Department of Cardiology, Mongi Slim Hospital, Tunis, Tunisia.

Rim Ben Romdhane (RB)

Department of Cardiology, Mongi Slim Hospital, Tunis, Tunisia.

Rami Tlili (R)

Department of Cardiology, Mongi Slim Hospital, Tunis, Tunisia.

Youssef Ben Ameur (YB)

Department of Cardiology, Mongi Slim Hospital, Tunis, Tunisia.

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Classifications MeSH