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Ventricular Septal Defect in an Octogenarian: A Case Report of VSD Surgical Repair Concomitant with Coronary Artery Bypass and Valvular Surgery.

Tayama E, Fujita S, Ueda T, Imasaka KI, Enomoto N, Onitsuka H, Tomita Y - Case Rep Cardiol (2012)

Bottom Line: Finding an untreated or asymptomatic large ventricular septal defect (VSD) in an elderly patient is uncommon.His postoperative course was uneventful.We conclude that, even for an octogenarian, surgical repair of VSD is recommendable, if surgical indications are appropriate.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiovascular Surgery, Clinical Research Center, Kyushu Medical Center, National Hospital Organization of Japan, Fukuoka 810-8563, Japan.

ABSTRACT
Finding an untreated or asymptomatic large ventricular septal defect (VSD) in an elderly patient is uncommon. The present case was an 81-year-old man who suffered from acute myocardial infarction due to three-vessel coronary disease, mitral and tricuspid valve insufficiency, and high-flow perimembranous VSD (Qp/Qs 2.3). Although the patient was elderly and the VSD had been asymptomatic for a long time, we considered that high-flow VSD and valve diseases should be repaired simultaneously with coronary disease. Then, he underwent elective surgery, namely, VSD patch repair concomitant with coronary artery bypass grafting, and mitral and tricuspid annuloplasty. His postoperative course was uneventful. We conclude that, even for an octogenarian, surgical repair of VSD is recommendable, if surgical indications are appropriate.

No MeSH data available.


Related in: MedlinePlus

Echocardiography: short axis (a) and apical 4-chamber (b) view. Perimembranous ventricular septal defect L → R flow and moderate tricuspid regurgitation flow were seen.
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fig2: Echocardiography: short axis (a) and apical 4-chamber (b) view. Perimembranous ventricular septal defect L → R flow and moderate tricuspid regurgitation flow were seen.

Mentions: Left to right shunt signal and perimembranous inlet type VSD were seen (high-velocity; maximum 3.9 m/s; pressure gradient of 60 mmHg) (Figure 2). The 5 mm of VSD's orifice was identified in the thickened membranous septal aneurysm. Severe tricuspid valve regurgitation (TR) was also detected (pressure gradient of RA-RV of 71 mmHg). Moderate mitral valve regurgitation (MR; area of 5 cm2 existed in a central portion. The left ventricle was slightly dilated and its motion showed severe hypokinesis in the anteroseptal to lateral area (LVDd/Ds 55/39 mm, LVEF 55%).


Ventricular Septal Defect in an Octogenarian: A Case Report of VSD Surgical Repair Concomitant with Coronary Artery Bypass and Valvular Surgery.

Tayama E, Fujita S, Ueda T, Imasaka KI, Enomoto N, Onitsuka H, Tomita Y - Case Rep Cardiol (2012)

Echocardiography: short axis (a) and apical 4-chamber (b) view. Perimembranous ventricular septal defect L → R flow and moderate tricuspid regurgitation flow were seen.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4008348&req=5

fig2: Echocardiography: short axis (a) and apical 4-chamber (b) view. Perimembranous ventricular septal defect L → R flow and moderate tricuspid regurgitation flow were seen.
Mentions: Left to right shunt signal and perimembranous inlet type VSD were seen (high-velocity; maximum 3.9 m/s; pressure gradient of 60 mmHg) (Figure 2). The 5 mm of VSD's orifice was identified in the thickened membranous septal aneurysm. Severe tricuspid valve regurgitation (TR) was also detected (pressure gradient of RA-RV of 71 mmHg). Moderate mitral valve regurgitation (MR; area of 5 cm2 existed in a central portion. The left ventricle was slightly dilated and its motion showed severe hypokinesis in the anteroseptal to lateral area (LVDd/Ds 55/39 mm, LVEF 55%).

Bottom Line: Finding an untreated or asymptomatic large ventricular septal defect (VSD) in an elderly patient is uncommon.His postoperative course was uneventful.We conclude that, even for an octogenarian, surgical repair of VSD is recommendable, if surgical indications are appropriate.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiovascular Surgery, Clinical Research Center, Kyushu Medical Center, National Hospital Organization of Japan, Fukuoka 810-8563, Japan.

ABSTRACT
Finding an untreated or asymptomatic large ventricular septal defect (VSD) in an elderly patient is uncommon. The present case was an 81-year-old man who suffered from acute myocardial infarction due to three-vessel coronary disease, mitral and tricuspid valve insufficiency, and high-flow perimembranous VSD (Qp/Qs 2.3). Although the patient was elderly and the VSD had been asymptomatic for a long time, we considered that high-flow VSD and valve diseases should be repaired simultaneously with coronary disease. Then, he underwent elective surgery, namely, VSD patch repair concomitant with coronary artery bypass grafting, and mitral and tricuspid annuloplasty. His postoperative course was uneventful. We conclude that, even for an octogenarian, surgical repair of VSD is recommendable, if surgical indications are appropriate.

No MeSH data available.


Related in: MedlinePlus