Percutaneous Closure of an Iatrogenic Ventricular Septal Defect Following Concomitant Septal Myectomy at the Time of Aortic Valve Replacement

Korean Circulation Journal 2014년 44권 1호 p.45 ~ p.48

유일환(Ryu Il-Hwan) - Eulji University College of Medicine Eulji University Hospital Department of Internal Medicine
전재웅(Jeon Jae-Woong) - Eulji University College of Medicine Eulji University Hospital Department of Internal Medicine
류아정(Ryu Ah-Jeong) - Eulji University College of Medicine Eulji University Hospital Department of Internal Medicine
김민규(Kim Min-Gyu) - Eulji University College of Medicine Eulji University Hospital Department of Internal Medicine
김주석(Kim Joo-Seok) - Eulji University College of Medicine Eulji University Hospital Department of Internal Medicine
김원호(Kim Won-Ho) - Eulji University Hospital Department of Internal Medicine
이재준(Lee Jae-Joon) - Eulji University Hospital Department of Internal Medicine
최진호(Choi Jin-Ho) - Eulji University School of Medicine Department of Thoracic and Cardiovascular Surgery

Abstract

A 77-year-old female patient underwent aortic valve replacement (AVR) with concomitant septal myectomy and tricuspid annuloplasty. Her symptoms did not improve after a successful operation. Echocardiogram demonstrated the presence of an iatrogenic ventricular septal defect (VSD). It was muscular in location and not the usual AVR with membraneous type of VSD, suggesting a complication from the myectomy. Percutaneous closure of the VSD remained the only feasible option due to her poor overall medical status. A 14-mm Amplazter VSD occluder was deployed successfully, by means of the trans-septal technique. She has improved very well postoperatively.

키워드

Heart septal defects, Septal occluder device
원문 및 링크아웃 정보
등재저널 정보
SCI(E) 학술진흥재단(KCI) KoreaMed 대한의학회 회원 
주제코드
주제명(Target field)
연구대상(Population)
연구참여(Sample size)
대상성별(Gender)
질병특성(Condition Category)
연구환경(Setting)
연구설계(Study Design)
연구기간(Period)
중재방법(Intervention Type)
중재명칭(Intervention Name)
키워드(Keyword)
유효성결과(Recomendation)
This case report strengthen the use of percutaneous VSD closure in the cases of iatrogenic VSD following concomitant septal myectomy with AVR.
연구비지원(Fund Source)
근거수준평가(Evidence Hierarchy)
출판년도(Year)
참여저자수(Authors)
대표저자
KCD코드
ICD 03
건강보험코드