title: Ventricular septal defect following disobliteration of right coronary artery.
abstract: Reperfusion injury is thought to occur during coronary recanalisation but rarely produces clinically significant effects other than arrhythmia. We report an unusual case of Ventricular Septal Defect (VSD) developing after successful disobliteration of the right coronary artery. In this case clinical, electrocardiographic and biochemical evidence of myocardial injury developed 6 hours after successful percutaneous recanalization of the infarct related artery. A rapidly developing VSD soon became apparent necessitating surgical intervention to repair the defect. Unfortunately the patient died soon after surgery.
authors.affiliation: Departments of Cardiothoracic Surgery, Freeman Hospital, Newcastle upon Tyne, UK.
authors.forename: Brian
authors.initials: B
authors.lastname: Nyawo
authors.forename: Raja Farhat
authors.initials: RF
authors.lastname: Shoaib
authors.forename: Pradip
authors.initials: P
authors.lastname: Sarkar
mesh_terms: D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000473:pathology* / Q000601:surgery; D004562:Electrocardiography; D017809:Fatal Outcome; D006345:Heart Septal Defects, Ventricular / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000628:therapy*; D015428:Myocardial Reperfusion Injury / Q000209:etiology; D012307:Risk Factors; D015607:Stents