[A case report: an elderly patient surviving conservative surgical repair of ventricular septal perforation (VSP) with using Swan-Ganz catheter in order to close VSP temporarily].
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| Abstract |
A 81-year-old female was referred to our hospital for VSP. Preoperative catheterization showed that pulmonary arterial pressure (PAP) was 50 mmHg over in systole, and L-R shunt rate was 63.4%. In spite of any medications under intraaortic balloon pumping, hemodynamics was gradually worsened. And so Swan-Ganz catheter was inserted into right ventricle via VSP retrogradely in order to close VSP with the balloon of the catheter. PAP decreased to about 40 mmHg in systole and L-R shunt rate became to 49.7% by this method. This treatment could conserve the surgical repair for 5 days and the operation was performed on 22 days after the onset of VSP. It is very important to be able to conserve VSP operation by using Swan-Ganz catheter to close VSP temporarily.
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| Authors | H Nakano, E Tei, M Hachida, M Hirai, H Sakahashi, K Kodera |
| Journal | Kyobu geka. The Japanese journal of thoracic surgery (Kyobu Geka) Vol. 45 Issue 10 Pg. 925-8 (Sep 1992) ISSN: 0021-5252 [Print] Japan |
| PMID | 1518211 (Publication Type: Case Reports, English Abstract, Journal Article) |
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