Surgical treatment of postinfarction ventricular septal defect with aortic stenosis

• Published in: The Annals of thoracic surgery Vol. 54; no. 6; pp. 1209 - 1211
• Main Authors: Boglioli, Lauren R., Traill, Thomas A., Casale, Alfred S., Reitz, Bruce A., Cameron, Duke E.
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.12.1992; Elsevier Science
• Subjects: Aged; Aortic Valve Stenosis - complications; Aortic Valve Stenosis - diagnosis; Aortic Valve Stenosis - surgery; Biological and medical sciences; Blood Gas Analysis; Cardiology. Vascular system; Coronary Angiography; Coronary heart disease; Echocardiography, Doppler; Heart; Heart Septal Defects, Ventricular - diagnosis; Heart Septal Defects, Ventricular - etiology; Heart Septal Defects, Ventricular - surgery; Humans; Intra-Aortic Balloon Pumping; Male; Medical sciences; Myocardial Infarction - complications; Myocardial Infarction - diagnosis; Human; Ventricular septal defect; Infarct; Stenosis; Cardiovascular disease; Coronary heart disease; Case study; Concomitant disease; Treatment; Cardiac valvular disease; Surgery; Myocardium; Complication; Aortic valve
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/0003-4975(92)90101-9

A 69-year-old man with an acute postinfarction ventricular septal defect was also found to have aortic stenosis. Successful management required closure of the postinfarction ventricular septal defect and replacement of the stenotic aortic valve. The contribution of aortic stenosis to the cause of the infarction and the postinfarction ventricular septal defect, as well as the implications for surgical management, are discussed.