Ventricular Septal Defect after Acute Myocardial Infarction.
10.4070/kcj.1994.24.4.687
- Author:
Yong Joo KIM
;
Ki Bae SEUNG
;
Dong Heon KANG
;
Suk Chan KIM
;
Ho Joong YOON
;
Sang Hong BAEK
;
Ook Song CHUNG
;
Joon Cheol PARK
;
Jae Hyung KIM
;
Soon Jo HONG
;
Kyu Bo CHOI
- Publication Type:Case Report
- Keywords:
Ventricular septal defect;
Acute myocardioal infarction
- MeSH:
Auscultation;
Chest Pain;
Coronary Artery Disease;
Female;
Heart;
Heart Septal Defects, Ventricular*;
Hepatomegaly;
Humans;
Lung;
Male;
Myocardial Infarction*;
Neck;
Respiratory Sounds;
Rupture;
Thorax;
Veins
- From:Korean Circulation Journal
1994;24(4):687-695
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
From May 1989 to March 1994, 6 patients(2 men and 4 women, mean age 63.5 years[range 57 to 69]) with ventricular septal defect after acute myocardial infarction(MI) were seen at Catholic Medical center. The clinical features were as follows : 1) Neck vein engorgement, hepatomegaly and rale on lung auscultation were noted in 5 patients. 2) The acute MI was anterior in 5 patients and posterior in 1 patients. 3) The sites of rupture were apex in 4 patients, among 5 anterior wall MI patients. 4) Pansystolic murmur was heard on left lower precordial area in all patients. 5) Only 1 patient had a history of typical angina. 6) All VSDs occurred during patients's first heart attack. 7) All patients developed VSDs within 7 days after the onset of chest patin. 8)Among 4 patients who underwent coronary angiogram, 3 patients had multivessel coronary artery disease. 9) 2 patients who underwent operation survived but 4 patients who received only medical treatment expired. 10) The time interval from chest pain to death was 14.7 days(range 6 to 27).
