title: [Emergency surgical repair of anterior ventricular septal rupture in a 91-year-old woman; report of a case].
abstract: Cardiac surgery in very elderly patients, especially in nonagenarians, has been a controversial issue of its relative risk, benefits and long-term survival. A 91-year-old woman was referred to our institution for an acute anterior myocardial infarction. Emergency coronary intervention was conducted and the occluded left anterior descending artery was successfully revascularized with a bare metal stent. Soon after reperfusion, her hemodynamics significantly collapsed and the subsequent left ventriculography revealed a large shunt to the right ventricle. Considering her self-sufficient daily life and the family's wishes, emergency surgical repair of anterior ventricular septal rupture was performed by infarct exclusion method using 2-patch technique. The patient recovered uneventfully and was discharged on postoperative day 24.
authors.affiliation: Department of Cardiovascular Surgery, Tsuchiura Kyodo General Hospital, Tsuchiura, Japan.
authors.forename: Dai
authors.initials: D
authors.lastname: Tasaki
authors.forename: Kazunobu
authors.initials: K
authors.lastname: Hirooka
authors.forename: Masahiro
authors.initials: M
authors.lastname: Ohnuki
mesh_terms: D000369:Aged, 80 and over; D004630:Emergencies; D005260:Female; D006342:Heart Rupture, Post-Infarction / Q000601:surgery*; D006346:Heart Septum / Q000601:surgery; D006801:Humans