| Literature DB >> 26675980 |
Takuya Nakahashi1, Kenji Sakata1, Toyonobu Tsuda1, Yoshihiro Tanaka1, Miho Ohira1, Mika Mori1, Mutsuko Takata1, Masa-Aki Kawashiri1, Hirofumi Takemura1, Masakazu Yamagishi1, Kenshi Hayashi1.
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.Entities:
Keywords: Echocardiography; mechanical complication; myocardial infarction (MI)
Year: 2015 PMID： 26675980 PMCID： PMC4666693 DOI： 10.3978/j.issn.2223-3652.2015.06.06
Source DB: PubMed Journal: Cardiovasc Diagn Ther ISSN： 2223-3652