Surgical treatment of postinfarction ventricular septal defect with aortic stenosis.
A 69-year-old man with an acute postinfarction ventricular septal defect was also found to have aortic stenosis. Successful management required closure of the postinfarction ventricular septal defect and replacement of the stenotic aortic valve. The contribution of aortic stenosis to the cause of the infarction and the postinfarction ventricular septal defect, as well as the implications for surgical management, are discussed.
Boglioli
L R
LR
Division of Cardiac Surgery, Johns Hopkins Hospital, Baltimore, Maryland 21205.
Traill
T A
TA
Casale
A S
AS
Reitz
B A
BA
Cameron
D E
DE
D000368:Aged; D001024:Aortic Valve Stenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001784:Blood Gas Analysis; D017023:Coronary Angiography; D015150:Echocardiography, Doppler; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis