[KSCI] Korea Science Citation Index Service

http://dx.doi.org/10.5090/kjtcs.2011.44.2.186

Transatrial Repair of Post-infarction Posterior Ventricular Septal Rupture

Lee, Weon-Yong (Department of Thoracic and Cardiovascular Surgery, Sacred Heart Hospital, College of Medicine, Hallym University)
Kim, Sung-Jun (Department of Thoracic and Cardiovascular Surgery, Sacred Heart Hospital, College of Medicine, Hallym University)
Kim, Kun-Il (Department of Thoracic and Cardiovascular Surgery, Sacred Heart Hospital, College of Medicine, Hallym University)
Lee, Jae-Woong (Department of Thoracic and Cardiovascular Surgery, Sacred Heart Hospital, College of Medicine, Hallym University)
Kim, Hyoung-Soo (Department of Thoracic and Cardiovascular Surgery, Sacred Heart Hospital, College of Medicine, Hallym University)
Lee, Hee-Sung (Department of Thoracic and Cardiovascular Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University)
Cho, Sung-Woo (Department of Thoracic and Cardiovascular Surgery, Kangdong Sacred Heart Hospital, College of Medicine, Hallym University)

Publication Information

Journal of Chest Surgery / v.44, no.2, 2011 , pp. 186-188 More about this Journal

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.

Keywords

Myocardial infarction; Ventricular septal rupture; Complication;

Citations & Related Records

Reference

1	Crenshaw BS, Granger CB, Birnbaum Y, et al. Risk factors, angiographic pattern, and outcomes in patient with ventricular septal defect complicating acute myocardial infarction. Circulation 2000;101:27-32. DOI ScienceOn
2	Cooley DA, Belmonte BA, Zeis LB, Schnur S. Surgical repair of ruptured interventricular septum following acute myocardial infarction. Surgery 1957;41:930-7.
3	Loisaaance DY, Lordez JM, Deleuze PH, Dubois-Rande JL, Lellouche D, Cachera JP. Acute postinfarction septal rupture: long-term result. Ann Thorac Surg 1991;52:474-8. DOI ScienceOn
4	Poulsen SH, Praestholm M, Munk K, Wierup P, Eqeblad H, Nielsen-Kudsk JE. Ventricular septal rupture complicating acute myocardial infarction: clinical characteristics and contemporary outcome. Ann Thorac Surg 2008;85:1591-6. DOI ScienceOn
5	Kirklin JW, Barratt-Boyes BG. Postinfarction ventricular septal defect. Cardiac surgery. New York: Churchill Livingstone. 1993;403-13.
6	Filgueira JL, Battistessa SA, Hestable H, Lorenzo A, Cassinelli M, Scola R. Delayed repair of an acquired posterior septal defect through a right atrial approach. Ann Thorac Surg 1986;42:208-9. DOI ScienceOn
7	Cummings RG, Reimer KA, Califf R, et al. Quantitative analysis of right and left ventricular infarction in the presence of postinfarction ventricular septal defect. Circulation 1998;77:33-42.
8	Massimo MI, Gerald B, Oliver LP, et al. Postinfarction ventricular septal rupture: Early repair through the right atrial approach. J Thorac Cardiovasc Surg 2000;119:784-9. DOI