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Ann Thorac Surg 2004;78:2178-2180
© 2004 The Society of Thoracic Surgeons


Case report

Long-Term Survival With Acquired Ventricular Septal Defect After Myocardial Infarction

Peter Alter, MDa,*, Bernhard Maisch, MDa, Rainer Moosdorf, MDb

a Department of Internal Medicine–Cardiology, Marburg, Germany
b Department of Cardiovascular Surgery, Philipps University of Marburg, Marburg, Germany

Accepted for publication July 25, 2003.

* Address reprint requests to Dr Alter, Philipps University of Marburg/Lahn, Department of Internal Medicine–Cardiology, Baldingerstrasse, 35033 Marburg, Germany
alter{at}mailer.uni-marburg.de

Acquired ventricular septal defects (VSD) are rare and devastating complications after myocardial infarction. The long-term prognosis with medical therapy is extremely poor. We report on a patient who developed progressive heart failure within 3 months after myocardial infarction due to an unknown VSD. The left ventricular function was severely impaired. After diagnosing VSD by echocardiography, surgical occlusion was performed. In addition, a biventricular pacemaker was applied using epicardial leads. The patient recovered almost completely 6 weeks postoperative. Beside hemodynamic changes, biventricular pacing is potentially sufficient to improve the postoperative outcome of patients with severe heart failure in these conditions.







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