A case study of post-myocardial infarction ventricular septal defect. Is there always a solution to this deadlock?

Abstract

This case report describes a patient with an ischaemic inferior wall aneurysm coincidental with a large post-myocardial infarction ventricular septal defect (VSD) treated with surgical closure of VSD combined with coronary artery bypass grafting. It is emphasized that there is a pivotal need for an individualized approach considering the timing of treatments, the need to stabilize haemodynamic status, and the choice between surgical, percutaneous closure, or palliative therapy.