Korean J Thorac Cardiovasc Surg.
2011 Apr;44(2):186-188. 10.5090/kjtcs.2011.44.2.186.
Transatrial Repair of Post-infarction Posterior Ventricular Septal Rupture
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Sacred Heart Hospital, College of Medicine, Hallym University, Korea. lwy1206@hallym.or.kr
- 2Department of Thoracic and Cardiovascular Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University, Korea.
- 3Department of Thoracic and Cardiovascular Surgery, Kangdong Sacred Heart Hospital, College of Medicine, Hallym University, Korea.
- KMID: 1448581
- DOI: http://doi.org/10.5090/kjtcs.2011.44.2.186
Abstract
- Ventricular septal rupture (VSR) is a rare but lethal complication of myocardial infarction. The event occurs 2~8 days after an infarction and often precipitates cardiogenic shock. Post myocardial infarction VSR is known for difficult to repair. Especially, Transmural myocardial infarction involved in the posterior VSD area, exposure of the affected site is difficult and postoperative mortality rate is high. We have experienced a case of a 75-year-old female patient who suffered posterior VSD due to acute myocardial infarction, and attained good result by approaching the lesion through right atrial incision and repaired the defect by using patch closure technique.
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