Download PDFPDF
Ventricular aneurysm and ventricular septal defect after myocardial infarction
Compose Response

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g.
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests


  • A rapid response is a moderated but not peer reviewed online response to a published article in a BMJ journal; it will not receive a DOI and will not be indexed unless it is also republished as a Letter, Correspondence or as other content. Find out more about rapid responses.
  • We intend to post all responses which are approved by the Editor, within 14 days (BMJ Journals) or 24 hours (The BMJ), however timeframes cannot be guaranteed. Responses must comply with our requirements and should contribute substantially to the topic, but it is at our absolute discretion whether we publish a response, and we reserve the right to edit or remove responses before and after publication and also republish some or all in other BMJ publications, including third party local editions in other countries and languages
  • Our requirements are stated in our rapid response terms and conditions and must be read. These include ensuring that: i) you do not include any illustrative content including tables and graphs, ii) you do not include any information that includes specifics about any patients,iii) you do not include any original data, unless it has already been published in a peer reviewed journal and you have included a reference, iv) your response is lawful, not defamatory, original and accurate, v) you declare any competing interests, vi) you understand that your name and other personal details set out in our rapid response terms and conditions will be published with any responses we publish and vii) you understand that once a response is published, we may continue to publish your response and/or edit or remove it in the future.
  • By submitting this rapid response you are agreeing to our terms and conditions for rapid responses and understand that your personal data will be processed in accordance with those terms and our privacy notice.
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Vertical Tabs

Other responses

Jump to comment:

  • Published on:
    The delayed presentation of mechanical complications of myocardial infarction
    • oscar,m jolobe, retired geriatrician British Medical Association. Also a member of the Manchester Medical Society(but not an affiliate)

    The delayed presentation of the association of left ventricular aneurysm(LVA) and ventricular septal rupture(VSR), reported by Patel et al(1), has its counterpart in the even longer delay, amounting to 3 months, documented in a 53 year old man who presented with increasing breathlessness and no history of chest pain. His delay in seeking medical attention was put down to to "apprehension sorrounding COVID-19". His electrocardiogram(ECG) showed ST segment elevation in the inferior leads. Coronary angiography showed severe multi-vessel disease including complete occlusion of the mid-right coronary artery. Transthoracic echocardiography(TTE) showed a basal inferior wall aneurysm and small ventricular septal rupture(VSR) with left- to -right shunt. Cardiac magnetic resonance imaging showed that the LVA measured 52 mm x 53 mm x 44 mm, with an associated mural thrombus. VSR and right-to-left shunt was confirmed. The patient experienced a successful, outcome from 3-vessel coronary artery bypass grafting, aneurysmectomy, and VSR patch repair(2).
    Takotsubo cardiomyopathy(TTC) is another context for LVA(3) and for VSR(4), respectively. Furthermore, the association of ventricular free wall rupture(presumably a complication of ventricular pseudo aneurysm) and VSR can also be a feature of TTC(5). In the latter report a 73 year old woman presented with a 5 days history of chest pain and breathlessness. Her ECG showed ST elevation in leads V2-V5. TTE showed...

    Show More
    Conflict of Interest:
    None declared.