{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:08Z","timestamp":1753877168067,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2019,9,7]],"date-time":"2019-09-07T00:00:00Z","timestamp":1567814400000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,9,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>A 49-year-old diabetic male was admitted to a hospital in 2018 following a 3-week history of worsening dyspnoea and pedal oedema. Early review and investigations indicated acute heart failure. Transthoracic echocardiogram (TTE) revealed mitral regurgitation (MR), aneurysmal change of the ventricles, a ventricular septal defect (VSD) and systolic dysfunction. Coronary angiogram demonstrated a significant left anterior descending and right coronary artery disease. He was diagnosed with a late presenting myocardial infarction (MI) with secondary mechanical complications. Mechanical complications of MI frequently require surgical intervention. The patient underwent a repair of VSD, mitral valve repair, excision of aneurysmal segment and coronary artery bypass grafting. Post-operative recovery was complicated by a sternal wound infection managed in conjunction with the plastic surgeons. A post-operative TTE showed a repaired ventricular septum and no residual MR. Early recognition and appropriate medical optimisation are required to achieve good patient outcomes.<\/jats:p>","DOI":"10.1093\/jscr\/rjz256","type":"journal-article","created":{"date-parts":[[2019,8,4]],"date-time":"2019-08-04T11:10:39Z","timestamp":1564917039000},"source":"Crossref","is-referenced-by-count":2,"title":["Surgical management of post-infarction ventricular septal defect, mitral regurgitation and ventricular aneurysm"],"prefix":"10.1093","volume":"2019","author":[{"given":"Samuel","family":"Belete","sequence":"first","affiliation":[{"name":"Cardiothoracic Surgery, Hammersmith Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karan","family":"Punjabi","sequence":"additional","affiliation":[{"name":"St Georges University, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Afoke","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery, Hammersmith Hospital, London, 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valvular heart disease (version 2012): the joint task force on the management of valvular heart disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)","volume":"33","author":"Vahanian","year":"2012","journal-title":"Eur Heart J"},{"key":"2019121206171204300_ref10","doi-asserted-by":"crossref","first-page":"1216 LP","DOI":"10.1136\/heartjnl-2017-311473","article-title":"Recognition, assessment and management of the mechanical complications of acute myocardial infarction","volume":"104","author":"Durko","year":"2018","journal-title":"Heart"}],"container-title":["Journal of Surgical Case 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