Ventricular Septal Defect
Complicating Myocardial Infarction: A Case of Delayed Percutaneous
Transcatheter Closure
Qianhang
Xia1, Meihong Chen2 ,Qingxian
Tu3, Min Xu4,Qianfeng
Jiang*(correspondence author; E-mail:
jiangqianfeng2005@126.com)
1,2,*
Faculty of clinical medicine,
Zunyi Medical University, Zunyi 563000, China
3,4 The
Third
Affiliated Hospital of Zunyi Medical University(The First People’s
Hospital of Zunyi), Zunyi 563000, China
Abstract
A
57-year-old man suffered chest pain during the COVID-19 pandemic, but he
delayed medical treatment due to fear of infection. Four months later,
symptoms chest tightness and shortness of breath appeared.
Electrocardiogram (ECG) revealed old myocardial infarction; color
sonography and myocardial CT revealed apical myocardial defect. He
refused surgery and percutaneous transcatheter closure, and follow-up
observation. After 22 months, the symptoms of chest tightness and
shortness of breath aggravated. He recovered after percutaneous
transcatheter closure, and was discharged. This case shows delayed
closure is one of the possible options for the patients without severe
organ dysfunction or hemodynamic disturbance.
Key Words : Acute myocardial infarction, Complication,
Ventricular assist device, Radial percutaneous coronary intervention,
Covid-19, Case report