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Michele Torella
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Right arrow Myocardial infarction

Ann Thorac Surg 2003;75:1315-1317
© 2003 The Society of Thoracic Surgeons

Case report

Postinfarction ventricular septal defect in a patient without coronary lesions

Gianantonio Nappi, MDa*, Luca Salvatore De Santo, MDa, Michele Torella, MDa, Maurizio Cotrufo, MD, FECTSa

a Department of Cardio-Thoracic and Respiratory Sciences, Second University of Naples, V. Monaldi Hospital, Naples, Italy

Accepted for publication September 27, 2002.

* Address reprint requests to Prof Nappi, Department of Cardio-Thoracic and Respiratory Sciences, Second University of Naples, V. Monaldi Hospital, Via L. Bianchi 5, 80131 Naples, Italy
e-mail: gianantonio.nappi{at}unina2.it

A 46-year-old man with polycystic kidney disease was referred to our institution for ventricular septal defect complicating myocardial infarction. Cardiac catheterization disclosed normal coronary arteries and absence of myocardial bridging. None of the more frequent causes of thrombosis were present, and histopathology proved negative for acute myocarditis. The surgical procedure was successful and the 11-month follow-up uneventful.






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