Unusual Hemodynamic Changes in an Infant with a Restrictive Ventricular Septal Defect

被引:0
作者
Antoine Legendre
Éric Bergoend
Marie Catherine Vaillant
Alain Chantepie
机构
[1] CHRU de Tours,
[2] Université François Rabelais de Tours,undefined
来源
Pediatric Cardiology | 2008年 / 29卷
关键词
Enlargement of ventricular septal defect; Rupture of aneurysm of the membranous septum; Pulmonary hypertension;
D O I
暂无
中图分类号
学科分类号
摘要
A 7-month-old asymptomatic infant was known to have a restrictive membranous ventricular septal defect partially closed by an aneurysm of the membranous septum. At 13 months of age, he developed unexpected pulmonary hypertension, with no clinical sign of cardiac failure. Cardiac catheterization assessed the pulmonary artery pressure at a systemic level with significant left-to-right shunt. After surgical closure, the pulmonary arterial pressure decreased by 50%. We suspect an enlargement of the ventricular septal defect caused by the rupture of the aneurysm of the membranous septum—a rare complication.
引用
收藏
页码:166 / 168
页数:2
相关论文
共 36 条
[1]  
Beerman LB(1985)Ventricular septal defect associated with aneurysm of the membranous septum J Am Coll Cardiol. 5 118-123
[2]  
Park SC(1971)Natural history of ventricular septal defect Br Heart J 33 246-257
[3]  
Fischer DR(1999)Evolution of ventricular septal defects. Relation to echocardiographic anatomy Arch Mal Coeur 92 623-628
[4]  
Campbell M(1979)Natural history of ventricular defects : ten-years follow-up Pediatrics 63 204-206
[5]  
Chantepie A(2002)Long-term outcome of patients with ventricular septal defect considered not to require surgical closure during childhood J Am Coll Cardiol 39 1066-1071
[6]  
Luksemberg S(2001)Increase in diameter of ventricular septal defect and membranous septal aneurysm formation during the infantile period Pediatr Cardiol. 22 491-493
[7]  
Vaillant MC(1971)Ventricular septal defect. Incidence, morbidity, and mortality in various age groups Br Heart J 33 81-87
[8]  
Corone P(1986)Importance of (perimembranous) ventricular septal aneurysm in the natural history of isolated perimembranous ventricular septal defect Am J Cardiol. 57 268-272
[9]  
Doyon F(1992)Contribution of two-dimensional echography in predicting spontaneous closure of interventricular defects in infants Arch Mal Coeur 85 597-601
[10]  
Gaudeau S(1997)Aneurysm of the membranous septum in adult patients with perimembranous ventricular sepatl defect Eur J Cardiothorac Surg. 11 307-311