Ventricular Septal Defect Complicating Myocardial Infarction: A Case of
Delayed Percutaneous Transcatheter Closure
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.