Unidirectional Valve Patch Closure for Ventricular Septal Defect with Severe Pulmonary Hypertension: A Case Report.
- Author:
Seok Whan MOON
1
;
Kuen Hyon JO
;
Yoon Hee JANG
;
Sung Ryong PARK
;
Young Pil WANG
;
Se Wha KIM
;
Moon Sub KWAK
;
Jae Kul KANG
Author Information
1. Department of Thoracic & Cardiovascular Surgery, Catholic University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Hyertension;
pulmonary;
Heart Septal defect;
ventricular;
Surgery method;
Patch
- MeSH:
Adult;
Arterial Pressure;
Dyspnea;
Female;
Heart Failure;
Heart Septal Defects;
Heart Septal Defects, Ventricular*;
Hemodynamics;
Humans;
Hypertension, Pulmonary*;
Mortality
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1998;31(7):718-721
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The surgical closure of VSD in patient with severe pulmonary hypertension has been considered a difficult problem for surgeons, because sudden hemodynamic change after closure of the defect could bring on high perioperative mortality. Recently, it was reported that UVP (unidirectional valve patch), which allows some blood to flow from right to left in case of acute right heart failure, is effective in improving the postoperative hemodynamics after closing septal defects. This 42-year old woman had suffered from VSD for 20 years and recently complained of worsening exertional dyspnea for three months, and was diagnosed of a large VSD (2.0 cm in diameter) with severe pulmonary hypertension (116/38 mm Hg), equal to systemic arterial pressure. We could successfully close VSD with severe pulmonary hypertension using one UVP and the other UVP for the creative ASD to be prepared against possible acute right heart failure. She was discharged on the fourteenth postoperative day and has been well for twelve months with spontanenous closure of UVP patch at the ninth postopeative month.
