Korean Circ J.  1985 Mar;15(1):145-150. 10.4070/kcj.1985.15.1.145.

Two Cases of Postmyocardial Infarction Ventricular Septal Defect(VSD)

• Park HS
• Tahk SJ
• Chung NS
• Shim WH
• Cho SY
• Lee WK

• KMID: 2145794
• DOI: http://doi.org/10.4070/kcj.1985.15.1.145

Abstract

Perforation of the interventricular septum complicating acute myocardial infarction is uncommon. The condition was first described anatomically by Latham in 1845 and the first antemortem diagnosis was made by Brunn in 1923. In both cases, bedside catheterization utilizing a flow directed catheter detected a step up of O2 saturation at the ventricular level, compatible with ventricular septal defect, and two dimensional echocardiogram allowed direct visualization and localization of the postmyocardial infarction VSD. Finally cineventriculogram confirmed them.

MeSH Terms

Catheterization
Catheters
Diagnosis
Heart Septal Defects, Ventricular
Infarction*
Myocardial Infarction