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A Journal on Surgery

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Chirurgia 2009 August;22(4):203-4

language: English

Repair of chronic postinfarction ventricular septal defect and left ventricular aneurysm

Song M.-H. 1, Nakayama T. 1, Hattori K. 1, Hibino T. 2

1 Department of Cardiovascular Surgery, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan
2 Department of Cardiology, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan


A 61-year-old man was admitted because of dyspnea. A postinfarction ventricular septal defect due to severe stenosis of left anterior descending artery was diagnosed. Since his hemodynamic state was stable and oximetry showed blood flow ratio of pulmonary to systemic artery was 1.2, he was initially treated medically. One month after the admission, cardiac catheterization follow-up was performed and it revealed increased shunt blood flow; the patient was now operated. The scar tissue around ventricular septal defect was firm and the defect was closed with patch. He recovered well postoperatively.

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