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KMID : 0364020110440020186
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Korean Journal of Thoracic and Cardiovascular Surgery
2011 Volume.44 No. 2 p.186 ~ p.188
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Transatrial Repair of Post-infarction Posterior Ventricular Septal Rupture
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Lee Weon-Yong
Kim Sung-Jun
Kim Kun-Il
Lee Jae-Woong
Kim Hyoung-Soo
Lee Hee-Sung
Cho Sung-Woo
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Abstract
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Ventricular septal rupture (VSR) is a rare but lethal complication of myocardial infarction. The event occurs 2∼8 days after an infarction and often precipitates cardiogenic shock. Post myocardial infarction VSR is known for difficult to repair. Especially, Transmural myocardial infarction involved in the posterior VSD area, exposure of the affected site is difficult and postoperative mortality rate is high. We have experienced a case of a 75-year-old female patient who suffered posterior VSD due to acute myocardial infarction, and attained good result by approaching the lesion through right atrial incision and repaired the defect by using patch closure technique.
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KEYWORD
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Myocardial infarction, Ventricular septal rupture, Complication
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