title: The Effects of Levosimendan in a Patient with Postinfarction Ventricular Septal Defect
abstract: This paper reports the clinic course of a patient with Post-infarction ventricular septal defect (PIVSD). At the period of surgery, the patient received levosimendan for cardioprotection. During the levosimendan infusion, the hemodynamics of the patient worsened. It might be also due to contrast induced nephropathy or to enlargement of the PIVSD or decompensation of heart failure. According to the findings, the impairment of hemodynamics and mortality of the patient might be responded to the inc
journal: Journal of Clinical & Cellular Immunology