Abstract
Ventricular septal perforation is a complication of acute myocardial infarction that is fatal unless treated surgically. Posterior ventricular septal perforation remains particularly difficult to repair successfully. We report an 80-year-old man with postinfarction posterior ventricular septal perforation who successfully underwent surgical repair using a technique similar to that described by Daggett et al. and was discharged in good health without postoperative septal shunt.
Similar content being viewed by others
References
Kirklin JW, Barratt-Boyes BG. Postinfarction ventricular septal defect. In: Cardiac Surgery, 2nd ed. New York: Churchill Livingstone, 1993: 403–13.
Jones MT, Schofield PM, Dark JF, Moussalli H, Deiraniya AK, Lawson RAM, et al. Surgical repair of acquired ventricular septal defect: determinants of early and late outcome. J Thorac Cardiovasc Surg 1987; 93: 680–6.
Loisance DY, Lordez JM, Deleuze PH, Dubois-Rande J-L, Lellouche D, Cachera J-P. Acute postinfarction septal rupture: long-term results. Ann Thorac Surg 1991; 52: 474–8.
Moore CA, Nygaard TW, Kaiser DL, Cooper AA, Gibson RS. Postinfarction ventricular septal rupture: the importance of location of infarction and right ventricular function in determining survival. Circulation 1986; 74: 45–55.
Skillington PD, Davies RH, Luff AJ, Williams JD, Dawkins KD, Conway N, et al. Surgical treatment for infarct-related ventricular septal defects: improved early results combined with analysis of late functional status. J Thorac Cardiovasc Surg 1990; 99: 798–808.
Daggett WM, Buckley MJ, Akins CW, Leinbach RC, Gold HK, Block PC, et al. Improved results of surgical management of postinfarction ventricular septal rupture. Ann Surg 1982; 196: 269–77.
David TE, Dale L, Sun Z. Postinfarction ventricular septal rupture: repair by endocardial patch with infarct exclusion. J Thorac Cardiovasc Surg 1995; 110: 1315–22.
Daggett WM, Guyton RA, Mundth ED, Buckley MJ, McEnary MT, Gold HK, et al. Surgery for post-myocardial infarct ventricular septal defect. Ann Surg 1977; 186: 260–71.
Daggett WM. Surgical technique for early repair of posterior ventricular septal rupture. J Thorac Cardiovasc Surg 1982; 84: 306–12.
Kawase Y, Ohashi H, Tsutsumi Y, Murakami A, Furuta H, Ohnaka M. A case of ventricular septal perforation treated surgically with an infarction exclusion technique (Eng abstr). J Jpn Assn Thorac Surg 1997; 45: 582–8.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kumamoto, T., Hirotani, T., Kameda, T. et al. Posterior ventricular septal perforation in an 80-year-old man. Jpn J Thorac Caridovasc Surg 48, 254–257 (2000). https://doi.org/10.1007/BF03218135
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF03218135