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[Ventricular septal perforation following acute myocardial infarction in an 85-year-old woman].

Abstract
An 85-year-old woman who experienced sudden severe chest and back pains was admitted to our hospital. On admission a pansystolic murmur was audible and the ECG showed an acute antero-septal myocardial infarction. Right heart catheterization revealed increased oxygen from the right atrium to the right ventricle, leading to the diagnosis of ventricular septal perforation (VSP). Hemodynamics of the patient were stabilized using only a low dosage of dopamine. However the heart weakened progressively, an operation was performed on the 13th day after the onset of the perforation. The post-operative course was uneventful. She is the oldest patient with VSP which has been successfully operated in Japan.
AuthorsK Furukawa, N Minato, K Takarabe, M Natsuaki, T Itoh
JournalKyobu geka. The Japanese journal of thoracic surgery (Kyobu Geka) Vol. 47 Issue 5 Pg. 395-7 (May 1994) ISSN: 0021-5252 [Print] Japan
PMID8196246 (Publication Type: Case Reports, English Abstract, Journal Article)
Topics
  • Aged
  • Aged, 80 and over
  • Female
  • Heart Rupture, Post-Infarction (diagnosis, surgery)
  • Heart Septum (surgery)
  • Heart Ventricles
  • Humans

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