[Case report of intraatrial RL-shunt after the repair of ventricular septal perforation].
A 78-year-old woman with ventricular septal perforation (VSP) after acute myocardial infarction was described in this report. Arterial oxygen tension (PaO2) extremely decreased after the repair of VSP. There was the marked difference in blood oxygen tension between left atrial blood and radial arterial blood, and trans-esophageal color echogram showed the intra-atrial RL shunt. Autopsy showed a small atrial septal defect (ASD) at foramen ovale. Right atrial pressure was higher than left atrial pressure after the repair of VSP because of right heart failure. These made the postoperative management complicated.
Shibata
T
T
Second Department of Surgery, Osaka City University Medical School, Japan.
Suehiro
S
S
Nishizawa
K
K
Sasaki
Y
Y
Hattori
K
K
Kinoshita
H
H
D000368:Aged; D005260:Female; D006342:Heart Rupture, Post-Infarction / Q000150:complications / Q000601:surgery*; D006344:Heart Septal Defects, Atrial / Q000150:complications*; D006346:Heart Septum; D006801:Humans; D011184:Postoperative Period