[Surgical repair of ventricular septal perforation following acute myocardial infarction in an 86-year-old man].
We reported on an 86-year-old man who underwent successful repair of ventricular septal perforation (VSP). He was admitted to our hospital with acute inferior myocardial infarction (MI). Color Doppler echocardiogram showed the VSP located in posterior ventricular septum and right heart catheterization revealed a Qp/Qs of 2.1. His hemodynamic condition worsened, necessitating initiation of intraaortic balloon pumping 11 days after the onset of MI. Surgical repair of the VSP was performed on that day. A posterior ventricular septal defect was repaired using the method advocated by Daggett: the ventricular septal defect was closed with a Teflon felt patch, and left ventricular free wall was closed with an artificial graft. The postoperative course was uneventful, and the patient is doing well at one year after operation. He was, to the best of our knowledge, the eldest patient to undergo successful operation for VSP in Japan.
Shibata
T
T
Second Department of Surgery, Osaka City University Medical School, Japan.
Suehiro
S
S
Minamimura
H
H
Sasaki
Y
Y
Hattori
K
K
Kinoshita
H
H
D000368:Aged; D000369:Aged, 80 and over; D006348:Cardiac Surgical Procedures / Q000379:methods; D006342:Heart Rupture, Post-Infarction / Q000150:complications*; D006801:Humans; D008297:Male; D018658:Ventricular Septal Rupture / Q000209:etiology / Q000601:surgery*