Coincident Detection and Concomitant Repair of a Ventricular Septal Defect during Emergency Coronary Artery Bypass Grafting and Left Ventricular Aneurysm Resection

This case report presents an accidental detection of a post-infarct ventricular septal defect (VSD) by a patient undergoing emergent coronary artery bypass grafting and left ventricular aneurysm resection. Both myocardial lesions were repaired simultaneously through the left ventricular aneurysm. The patient’s postoperative course was uneventful. This case shows the importance of intraoperative transesophageal echocardiography, as well as inspection of the interventricular septum, in an emergency setting to detect possible infarct VSDs.