International Coronary Congress
Meeting Home Final Program

Back to 2017 Program


Surgical Repair of Ventricular Septal Defect and Total Arterial Revascularization After Myocardial Infarction
Mehmet S. Ates, Zumrut T. Demirozu.
Koc University Hospital, Istanbul, Turkey.

OBJECTIVE: The occurance of postmyocardial infarction(MI) ventricular septal defect (VSD) is an uncommon but frequently fatal complication. We present a case report and management of postMI VSD.
METHODS: 71-year old female with a history of MI transferred to our department. Her cath lab study documented LAD and Diagonal artery 90% and 80% stenosis, increased Troponin-T levels.Her echocardiography reported apical post-MI 2x2 cm in diameter with EF 45% and sysPAB 41mmHg.
RESULTS: She had total arterial revascularization,CABGx3and closure of VSD.Left Ventricular (LV) anevrizmectomy was done,VSD was closed with teflon plegite sutures(Fig-1),Dacron patch was used to exclude the necrotic wall(Fig2,3,4).Reconstruction of LV wall was done with plication technique(Fig-5).Total arterial revascularization with LIMA and radial artery grafts was used. Radial artery was anastomosed over LIMA greft in Y-technique. LIMA anastomosed to LAD with sequential, mid-portion and distal. Radial artery distal anastomose was done to Diagonal Artery (Fig-6,7,8).
CONCLUSIONS: The VSD rupture remains devastating complication after MI. Our patient was operated 2 days after MI and extubated post-op 6 hours and discharged from the hospital post-op 7 days with EF 45 % with good end organ function.





Back to 2017 Program



Endorsed by:
The Society of Thoracic Surgeons


Co-sponsored by:
Association of Physician Assistants in Cardiovascular Surgery (APACVS) The International Society for Minimally Invasive Cardiothoracic Surgery Japanese Association for Coronary Artery Surgery
Brazilian Society of Cardiovascular Surgery Fu-Wai Hospital of Beijing Indian Association of Cardiovascular-Thoracic Surgeons
Society for Cardiothoracic Surgery in Great Britain & Ireland