[A case report: an elderly patient surviving conservative surgical repair of ventricular septal perforation (VSP) with using Swan-Ganz catheter in order to close VSP temporarily].
A 81-year-old female was referred to our hospital for VSP. Preoperative catheterization showed that pulmonary arterial pressure (PAP) was 50 mmHg over in systole, and L-R shunt rate was 63.4%. In spite of any medications under intraaortic balloon pumping, hemodynamics was gradually worsened. And so Swan-Ganz catheter was inserted into right ventricle via VSP retrogradely in order to close VSP with the balloon of the catheter. PAP decreased to about 40 mmHg in systole and L-R shunt rate became to 49.7% by this method. This treatment could conserve the surgical repair for 5 days and the operation was performed on 22 days after the onset of VSP. It is very important to be able to conserve VSP operation by using Swan-Ganz catheter to close VSP temporarily.
Nakano
H
H
Department of Cardiovascular Surgery, Ayase Heart Hospital.
Tei
E
E
Hachida
M
M
Hirai
M
M
Sakahashi
H
H
Kodera
K
K
D000368:Aged; D000369:Aged, 80 and over; D002407:Catheterization, Swan-Ganz; D005260:Female; D006342:Heart Rupture, Post-Infarction / Q000628:therapy*; D006346:Heart Septum; D006352:Heart Ventricles; D006801:Humans