| A Case of Successful Surgical
Repair of Ventricular Septal Perforation Following Acute Myocardial
Infarction in an 88-Year-Old Woman |
| Yasuhiro Furutani |
Nobuo Sakagoshi |
(Department of Cardiovascular Surgery, Kawachi
General Hospital, Osaka, Japan)
|
We report on an 88-year-old woman
who underwent successful repair of ventricular septal perforation
(VSP) following acute myocardial infarction. She was admitted
as an emergency case to our hospital with acute myocardial infarction.
Color Doppler echocardiogram revealed anterior VSP. Right heart
catheterization was conducted under intraaortic balloon pumping
and showed a QP/QS of 3.0. She also had
acute renal failure for which continuous hemodialysis and filtration
was started. In spite of intensive medical therapy, her hemodynamic
condition was gradually worsened. An emergency operation was
performed on the 6th day after the onset. A single porcine pericardial
patch was sutured on the left side of the septum around the perforation
and the left ventricular free wall was closed including the patch
with two felt strips. She suffered from various complications
through the postoperative course. However, she recovered and
was discharged on the 77th postoperative day. She was, to the
best of our knowledge, the oldest among the reported cases of
successful surgical repair of VSP in Japan.
Jpn. J. Cardiovasc. Surg. 31：317-319 (2002) |
|
