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Diagnosis of recurrent rupture of interventricular septum during acute myocardial infarction by Doppler color flow mapping.

Abstract：

:This report presents a 60-year-old female who had acute anteroseptal myocardial infarction and a grade 3/6 pansystolic murmur at left lower sternal border. Color Doppler echocardiographic examination revealed the presence of a ventricular septal defect which was later confirmed by contrast left ventriculography and at the time of operation. Urgent operation with closure of ventricular septum was performed and the cardiac murmur disappeared. One day after operation a grade 3/6 pansystolic murmur at left lower sternal border was heard and hypotension was noted. Color Doppler echocardiographic examination demonstrated another ventricular septal defect. The patient underwent re-operation due to hemodynamic instability. At operation, a new ventricular septal defect was noted while the previous patch was intact.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Fang BR,Chiang CW,Chang RP

doi

10.1016/0167-5273(91)90276-u

subject

Has Abstract

pub_date

1991-04-01 00:00:00

pages

105-6

issue

1

eissn

0167-5273

issn

1874-1754

pii

0167-5273(91)90276-U

journal_volume

31

pub_type

杂志文章

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