title: [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].
abstract: 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.
authors.affiliation: Department of Cardiovascular Surgery, Ayase Heart Hospital.
authors.forename: H
authors.initials: H
authors.lastname: Nakano
authors.forename: E
authors.initials: E
authors.lastname: Tei
authors.forename: M
authors.initials: M
authors.lastname: Hachida
authors.forename: M
authors.initials: M
authors.lastname: Hirai
authors.forename: H
authors.initials: H
authors.lastname: Sakahashi
authors.forename: K
authors.initials: K
authors.lastname: Kodera
mesh_terms: 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