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Case Reports in Cardiology
Volume 2012, Article ID 429569, 4 pages
http://dx.doi.org/10.1155/2012/429569
Case Report

Ventricular Septal Defect in an Octogenarian: A Case Report of VSD Surgical Repair Concomitant with Coronary Artery Bypass and Valvular Surgery

Department of Cardiovascular Surgery, Clinical Research Center, Kyushu Medical Center, National Hospital Organization of Japan, Fukuoka 810-8563, Japan

Received 2 May 2012; Accepted 21 June 2012

Academic Editors: M.-R. Chen and K. Nikus

Copyright © 2012 Eiki Tayama et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Finding an untreated or asymptomatic large ventricular septal defect (VSD) in an elderly patient is uncommon. The present case was an 81-year-old man who suffered from acute myocardial infarction due to three-vessel coronary disease, mitral and tricuspid valve insufficiency, and high-flow perimembranous VSD (Qp/Qs 2.3). Although the patient was elderly and the VSD had been asymptomatic for a long time, we considered that high-flow VSD and valve diseases should be repaired simultaneously with coronary disease. Then, he underwent elective surgery, namely, VSD patch repair concomitant with coronary artery bypass grafting, and mitral and tricuspid annuloplasty. His postoperative course was uneventful. We conclude that, even for an octogenarian, surgical repair of VSD is recommendable, if surgical indications are appropriate.