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Nakahashi T, Sakata K, Tsuda T, Tanaka Y, Ohira M, Mori M, Takata M, Kawashiri MA, Takemura H, Yamagishi M, Hayashi K. Abrupt progression of ventricular septal perforation after primary angioplasty for acute myocardial infarction. Cardiovasc Diagn Ther 2015; 5:479-83. [PMID: 26675980 DOI: 10.3978/j.issn.2223-3652.2015.06.06] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
A 61-year-old-man was transferred to our hospital because of progressive heart failure after reperfusion for acute myocardial infarction (MI). When he visited the local hospital with severe chest pain associated with inferior MI, transthoracic echocardiography revealed small ventricular septal perforation (VSP). The patient had emergent coronary angiography, which revealed total occlusion of the mid-portion of the right coronary artery. Primary angioplasty was successful for reperfusion. However, because of hemodynamic instability the patient was transferred to our hospital. Under these conditions, transthoracic echocardiography which was undertaken 3 hours after primary angioplasty, demonstrated progressive enlargement of the VSP probably due to reperfusion injury. The rupture site, which was further enlarged at the time of operation, was repaired using the patch exclusion technique. The patient could discharge without complications. We suggest that primary angioplasty may potentially induce late reperfusion injury in patients with VSP complicating MI.
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Affiliation(s)
- Takuya Nakahashi
- 1 Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Kanazawa, Japan ; 2 Department of Internal Medicine, Komatsu City Hospital, Komatsu, Japan ; 3 Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan
| | - Kenji Sakata
- 1 Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Kanazawa, Japan ; 2 Department of Internal Medicine, Komatsu City Hospital, Komatsu, Japan ; 3 Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan
| | - Toyonobu Tsuda
- 1 Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Kanazawa, Japan ; 2 Department of Internal Medicine, Komatsu City Hospital, Komatsu, Japan ; 3 Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan
| | - Yoshihiro Tanaka
- 1 Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Kanazawa, Japan ; 2 Department of Internal Medicine, Komatsu City Hospital, Komatsu, Japan ; 3 Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan
| | - Miho Ohira
- 1 Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Kanazawa, Japan ; 2 Department of Internal Medicine, Komatsu City Hospital, Komatsu, Japan ; 3 Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan
| | - Mika Mori
- 1 Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Kanazawa, Japan ; 2 Department of Internal Medicine, Komatsu City Hospital, Komatsu, Japan ; 3 Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan
| | - Mutsuko Takata
- 1 Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Kanazawa, Japan ; 2 Department of Internal Medicine, Komatsu City Hospital, Komatsu, Japan ; 3 Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan
| | - Masa-Aki Kawashiri
- 1 Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Kanazawa, Japan ; 2 Department of Internal Medicine, Komatsu City Hospital, Komatsu, Japan ; 3 Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan
| | - Hirofumi Takemura
- 1 Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Kanazawa, Japan ; 2 Department of Internal Medicine, Komatsu City Hospital, Komatsu, Japan ; 3 Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan
| | - Masakazu Yamagishi
- 1 Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Kanazawa, Japan ; 2 Department of Internal Medicine, Komatsu City Hospital, Komatsu, Japan ; 3 Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan
| | - Kenshi Hayashi
- 1 Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Kanazawa, Japan ; 2 Department of Internal Medicine, Komatsu City Hospital, Komatsu, Japan ; 3 Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan
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