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Journal List > Korean Circ J > v.15(1) > 1072191

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Park, Tahk, Chung, Shim, Cho, and Lee: Two Cases of Postmyocardial Infarction Ventricular Septal Defect(VSD)
Case Report
Korean Circulation Journal

Korean Circulation Journal 1985; 15(1): 145-150.

Published online: 31 March 1985

DOI: https://doi.org/10.4070/kcj.1985.15.1.145

Two Cases of Postmyocardial Infarction Ventricular Septal Defect(VSD)

Hae Sim Park, M.D., Seung Jea Tahk, M.D., Nam Sick Chung, M.D., Won Heum Shim, M.D., Seung Yun Cho, M.D., Woong Ku Lee, M.D.

Copyright © 1985 The Korean Society of Circulation

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Perforation of the interventricular septum complicating acute myocardial infarction is uncommon. The condition was first described anatomically by Latham in 1845 and the first antemortem diagnosis was made by Brunn in 1923.
In both cases, bedside catheterization utilizing a flow directed catheter detected a step up of O2 saturation at the ventricular level, compatible with ventricular septal defect, and two dimensional echocardiogram allowed direct visualization and localization of the postmyocardial infarction VSD. Finally cineventriculogram confirmed them.

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