Spontaneous Closure of Ventricular Septal
Defect Complicated with Acute Myocardial
Infarction
- Author(s)
- In-Cheol Kim; Hyungseop Kim; Dong-Hwan Jun; Yun-Kyeong Cho; Chang-Wook Nam; Seong-Wook Han; Seung-Ho Hur; Yoon-Nyun Kim; Kwon-Bae Kim
- Keimyung Author(s)
- Kim, In Cheol; Kim, Hyung Seop; Cho, Yun Kyeong; Nam, Chang Wook; Han, Seong Wook; Hur, Seung Ho; Kim, Yoon Nyun; Kim, Kwon Bae
- Department
- Dept. of Internal Medicine (내과학)
- Journal Title
- Echocardiography
- Issued Date
- 2008
- Volume
- 25
- Issue
- 7
- Abstract
- Keywords:
acute myocardial infarction;
aneurysm;
ventricular septal defect;
echocardiography
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.
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