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