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Ann Thorac Surg 1992;54:1209-1211
© 1992 The Society of Thoracic Surgeons

Articles

Surgical treatment of postinfarction ventricular septal defect with aortic stenosis

Lauren R. Boglioli, BS, Thomas A. Traill, MRCP, Alfred S. Casale, MD, Bruce A. Reitz, MD, Duke E. Cameron, MD*

Divisions of Cardiac Surgery and Cardiology, The Johns Hopkins Hospital, Baltimore, Maryland, USA

Accepted for publication March 3, 1992.

* Address reprint requests to Dr Cameron, The Johns Hopkins Hospital, 600 N Wolfe St, Blalock 618, Baltimore, MD 21205.

A 69-year-old man with an acute postinfarction ventricular septal defect was also found to have aortic stenosis. Successful management required closure of the postinfarction ventricular septal defect and replacement of the stenotic aortic valve. The contribution of aortic stenosis to the cause of the infarction and the postinfarction ventricular septal defect, as well as the implications for surgical management, are discussed.






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