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Spontaneous Closure of Ventricular Septal Defect Complicated with Acute Myocardial Infarction
Author(s) -
Kim InCheol,
Kim Hyungseop,
Jun DongHwan,
Cho YunKyeong,
Nam ChangWook,
Han SeongWook,
Hur SeungHo,
Kim YoonNyun,
Kim KwonBae
Publication year - 2008
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.2007.00692.x
Subject(s) - medicine , cardiology , myocardial infarction , decompensation , percutaneous , percutaneous coronary intervention
A 79‐year‐old man was followed in our hospital for 4 years following primary percutaneous coronary intervention at another hospital to deploy two stents at the left anterior descending coronary artery for acute myocardial infarction (AMI). At the first visit in our hospital, echocardiography revealed a small ventricular septal defect (VSD, 0.8 to 1.0 cm) in the apicoseptal wall with an aneurysm that was probably the result of the AMI. There was no hemodynamic decompensation, and because the patient refused surgical correction we instead placed him under close follow‐up observation in the outpatient clinic. A second follow‐up echocardiography 6 months later still revealed a VSD. However, after 3 years the VSD murmur was no longer audible and follow‐up echocardiography showed the defect to be nearly closed .