Successful repair of postinfarction ventricular septal defect and biventricular aneurysm

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Surgical Management of Postinfarction Ventricular Septal Defect

Accessible online at: www.karger.com/journals/hed In this issue of Heart Drug, Prêtre and Turina [1] present a retrospective study of 54 patients operated on for postinfarction ventricular septal defect (VSD) during the period 1979–1998. The treatment protocol applied was based on the principles of early closure, concomitant myocardial revascularization and ventricular remodeling. In the late 1...

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Transcatheter Closure of a Large Postinfarction Ventricular Septal Defect Complicated With Perforation of Ventricular Aneurysm

Ventricular septal defect concurrent with left ventricular aneurysm is unusual in postinfarction patients. The complex anatomy is challenging for occluder deployment in transcatheter closure and associated with high risk of aneurysm perforation. We present a case of transcatheter closure of a large postinfarction ventricular septal defect with an Amplatzer septal occluder in a 71-year-old woman...

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Biventricular repair in unbalanced atrioventricular septal defect.

We present the case of a 2.5 year-old child with unbalanced atrioventricular septal defect due to a small left ventricle (LV) (mitral annulus of 10mm and a 0.4 ratio in relation to the tricuspid annulus, LVDD: 17 mm, LV Vd2: 15 ml/m(2) and LV/RV long-axis ratio of 0.71); he had a favorable outcome after biventricular surgical repair. Normal LV development was observed three months after the ope...

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Surgical management of recurrent postinfarction ventricular septal defect.

A 57 year old man presented with postinfarction ventricular septal infarct (VSD) a week after myocardial infarction and thrombolytic therapy. Coronary angiography confirmed double vessel disease. He underwent surgical repair of the VSD and coronary artery bypass grafting. Two days postoperatively, he deteriorated due to recurrence of VSD. Reoperation was carried out with satisfactory results. T...

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Simultaneous Repair of Ventricular Septal Defect and Left Ventricular Aneurysm following Myocardial Infarction.

A successful simultaneous surgical repair of rupture of the interventricular septum and left ventricular aneurysm resulting from myocardial infarction is described. Very few similar cases have been described in the literature and in none was angiocardiography performed before operation. Preoperative angiocardiographic examination to demonstrate a ventricular aneurysm is of major importance in a...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 1969

ISSN: 0022-5223

DOI: 10.1016/s0022-5223(19)42622-6