Reoperation of Postinfarction VSD.
- Author:
Jae Ho AHN
1
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Medical College, Ewha Women's University, Korea.
- Publication Type:Case Report
- Keywords:
myocardial infarction;
Heart septal defect, ventricular;
reoperation
- MeSH:
Heart Septal Defects, Ventricular;
Heart-Assist Devices;
Humans;
Myocardial Infarction;
Polyethylene Terephthalates;
Reoperation*;
Ventricular Septal Rupture;
Ventricular Septum
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1997;30(5):528-532
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
After early surgical repair of ventricular septal rupture complicated by myocardial infarction, newly developed ventricular septal defects were discovered on the 7th and the 40th postoperative day in 2 cases. We reoperated these patients for closure of newly developed ventricular septal defects with Dacron patch successfully on the 77th and the 10th day after discovery of those defects. From these results we conclude that early surgical repair for ruptured ventricular septum following myocardial infarction is an appropriate approach with low risk and that remnant or recurred ventricular septal defect can be corrected rather safely with proper myocardial preservation and unrestricted application of intraaortic balloon pump or other ventricular assist device.
