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Transatrial Repair of Post-infarction Posterior Ventricular Septal Rupture. 2011
Weon-Yong Lee, and
Sung Jun Kim, and
Kun-Il Kim, and
Jae-Woong Lee, and
Hyoung Soo Kim, and
Hee Sung Lee, and
Sung-Woo Cho
Department of Thoracic and Cardiovascular Surgery, Sacred Heart Hospital, College of Medicine, Hallym University, Korea.
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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