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KMID : 0364019910240090913
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Korean Journal of Thoracic and Cardiovascular Surgery
1991 Volume.24 No. 9 p.913 ~ p.917
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Surgical Management of Postinfarctio VSD
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Abstract
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Ventricular septal defect complicating myocardial infarction is rare but fatal condition which requires early surgical intervention before end-organ failure ensues from cardiogenic shock. Since the first sucessful repair by Cooley et al in 1956, surgical : kills and strategies were developed and modified to a great extent, and we adopted the nevi repair tecnique in our case which stresses that minimal or no part of the infarcted septum and left ventricular wall be resected. This technique obviates the need to resect the infarcted part of the septum and prevents recurrence of an even larger VSD, and provides adequate size and shape of the left ventricle after of trasinfarction left ventriculotomy.
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