Surgical Treatment of Postinfarctional Ventricular Septal Rupture and Aneurysm

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Abstract
Three patients with severe cardiac failure after postinfarctional septal rupture were operated by cardio-pulmonary bypass 24 days, 5 months, and 2 1/2, years, respectively, after the infarction. Two of the defects were closed by direct suture, the third with a Dacron patch. Left ventricle aneurysmectomy was performed in 2 patients; in the third an infarcted akinetic area was resected. One patient died postoperatively, the other 2 were greatly improved and in good condition at follow-up 7 and 8 months after operation. The very high initial mortality indicates emergency closure in patients in non-responsive cardiac shock. If possible, surgical repair should be postponed 2–3 months.