Ventricular septal rupture secondary to myocardial infarction. Clinical approach and surgical results

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Abstract
Patients (24) underwent operation for ventricular septal rupture secondary to acute myocardial infarction. There were 14 hospital survivors (58%) and 2 late deaths (8%). There were 8 hospital deaths (62%) of 13 patients referred in cardiogenic shock, but only 2 deaths (18%) of 11 patients not in shock at time of referral. All 12 current survivors showed clinical improvement; 11 of them are in New York Heart Association functional class I or II. Eleven patients had bedside catheterization with a balloon catheter and were operated on immediately thereafter; 8 (73%) survied with no late deaths at 5 yr. With formal heart catheterization followed by operation, there were 6 survivors of 13 operated on (46%).