IMPENDING VENTRICULAR SEPTAL DEFECT: IS IT REASONABLE TO BE CONSERVATIVE?

• Author(s): Santos Castro, Mariana ; Abecasis, João ; Braga, Ana ; Neves, José Pedro
• Date: 2021
• Origin: Portuguese Journal of Cardiac Thoracic and Vascular Surgery
• Document Type: Journal article
• Language: English

Description

A 72 year-old men admitted for a two week old myocardial infarction had a septal intra-myocardial cavity at first echocardiographic evaluation (A,B). Cardiac magnetic resonance showed extensive no-reflow on the septum (C). Owing to clinical stability, a conservative strategy was decided. Without a complete VSD (D), fibrosis filled the gap in two weeks (E), followed by a septal remodelling scar (F).