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KMID : 0368120140440010045
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Korean Circulation Journal
2014 Volume.44 No. 1 p.45 ~ p.48
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Percutaneous Closure of an Iatrogenic Ventricular Septal Defect Following Concomitant Septal Myectomy at the Time of Aortic Valve Replacement
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Ryu Il-Hwan
Jeon Jae-Woong
Ryu Ah-Jeong
Kim Min-Gyu
Kim Joo-Seok
Kim Won-Ho
Lee Jae-Joon
Choi Jin-Ho
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Abstract
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A 77-year-old female patient underwent aortic valve replacement (AVR) with concomitant septal myectomy and tricuspid annuloplasty. Her symptoms did not improve after a successful operation. Echocardiogram demonstrated the presence of an iatrogenic ventricular septal defect (VSD). It was muscular in location and not the usual AVR with membraneous type of VSD, suggesting a complication from the myectomy. Percutaneous closure of the VSD remained the only feasible option due to her poor overall medical status. A 14-mm Amplazter VSD occluder was deployed successfully, by means of the trans-septal technique. She has improved very well postoperatively.
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KEYWORD
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Heart septal defects, Septal occluder device
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Listed journal information
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