Furukawa K, Minato N, Takarabe K, Natsuaki M, Itoh T
Department of Thoracic and Cardiovascular Surgery, Saga Medical School, Japan.
Kyobu Geka. 1994 May;47(5):395-7.
An 85-year-old woman who experienced sudden severe chest and back pains was admitted to our hospital. On admission a pansystolic murmur was audible and the ECG showed an acute antero-septal myocardial infarction. Right heart catheterization revealed increased oxygen from the right atrium to the right ventricle, leading to the diagnosis of ventricular septal perforation (VSP). Hemodynamics of the patient were stabilized using only a low dosage of dopamine. However the heart weakened progressively, an operation was performed on the 13th day after the onset of the perforation. The post-operative course was uneventful. She is the oldest patient with VSP which has been successfully operated in Japan.
一名85岁突发严重胸痛和背痛的女性被收治入院。入院时可闻及全收缩期杂音，心电图显示急性前间壁心肌梗死。右心导管检查显示从右心房到右心室的氧含量增加，从而诊断为室间隔穿孔（VSP）。仅使用低剂量多巴胺就稳定了患者的血流动力学。然而，心脏功能逐渐减弱，在穿孔发生后的第13天进行了手术。术后过程顺利。她是日本成功接受手术的年龄最大的VSP患者。
