Closure of ventricular septal rupture caused by acute myocardial infarction using a transaortic balloon catheter.
We report a case of successful transaortic closure of a postinfarction ventricular septal rupture using a Swan-Ganz catheter. The method markedly reduced a left-to-right shunt and the improved hemodynamic condition of the patient, an 81-year-old woman, was maintained for about a week before surgical treatment. Inflation of the balloon with water made the balloon visible via echocardiography and was effective in maintaining inflation and echocardiographic follow-up.
Critical Care and Emergency Medical Center, Yokohama City University School of Medicine, Japan.
M
M
Kosuge
K
K
Kimura
T
T
Ishikawa
M
M
Shimizu
H
H
Himeno
T
T
Ebina
Y
Y
Hongo
M
M
Sugiyama
T
T
Nihei
M
M
Ishii
D000368:Aged; D000369:Aged, 80 and over; D001011:Aorta; D002404:Catheterization / Q000379:methods*; D002407:Catheterization, Swan-Ganz; D015150:Echocardiography, Doppler; D004562:Electrocardiography; D005260:Female; D006342:Heart Rupture, Post-Infarction / Q000000981:diagnostic imaging / Q000628:therapy*; D006346:Heart Septum; D006439:Hemodynamics; D006801:Humans; D011859:Radiography