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Very late presentation ventricular septal defect following myocardial infarction
  1. Emma P K Yu1,
  2. Michael O'Sullivan2
  1. 1Division of Cardiovascular Medicine, University of Cambridge, Cambridge, UK
  2. 2Department of Cardiology, Papworth Hospital, Cambridge, UK
  1. Correspondence to Dr Emma Yu, Division of Cardiovascular Medicine, University of Cambridge, PO Box 110, Addenbrooke's Hospital, Cambridge CB2 2QQ, UK; epky2{at}

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A 64-year-old man was admitted to hospital with shortness of breath and abdominal swelling. His background history included an inferior ST-elevation myocardial infarction (MI), 18 months previously, treated by stenting of his right coronary artery. On examination, there was a pansystolic murmur and signs of right heart failure, with markedly elevated jugular venous pressure, ascites and peripheral oedema. After treatment elsewhere with diuretics and intermittent paracentesis, he was transferred to our …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.