Ventricular septal defect after myocardial infarction

Case contributed by Stefan Tigges

Presentation

Pulmonary edema after placement of a left anterior coronary artery stent following myocardial infarction.

Patient Data

Age: 70 years
Gender: Male

Impella device and left internal jugular catheter appropriately positioned with small bilateral pleural effusions and pulmonary edema.

Ventricular septal defect with hypoperfusion of the septum and left ventricular apex. Impella device and left anterior coronary artery stent in place. Small bilateral pleural effusions with dependent atelectasis adjacent lung.

Case Discussion

A ventricular septal defect is an uncommon complication of a left anterior descending coronary artery infarction and unfortunately has a high mortality.

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