Combined Septal Rupture Repair and Infarctectomy in Acute Myocardial Infarction
- 20 July 1970
- journal article
- research article
- Published by American Medical Association (AMA) in JAMA
- Vol. 213 (3) , 460-462
- https://doi.org/10.1001/jama.1970.03170290056015
Abstract
Rupture of the ventricular septum developed three days after the onset of an acute myocardial infarction in a 57-year-old man. Nineteen days after infarction, a retrograde angiocardiogram of the left ventricle confirmed a left-to-right shunt in the septum. During cardiopulmonary bypass, the ruptured ventricular septum was repaired and an 8 × 4.5-cm aneurysmal infarction was excised. The postoperative course was uneventful, despite a small residual left-to-right shunt (1.7/1). Nine months after operation the patient was active and asymptomatic without heart-failure.Keywords
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