title: [Surgical treatment of complications of myocardial infarct].
abstract: Complications of myocardial infarction in the form of aneurysm of the heart, mitral incompetence and ventricular septal defect cause considerable changes in intracardiac hemodynamics which lead to severe disturbances in the circulation system in different periods after myocardial infarction. The timely and properly made diagnosis allows the prognostic severity of the complication to be appraised and the optimum therapeutic tactics determined. The given classifications of this pathological conditions promote a differential approach in considering the indications and contraindications in each case. Analysis of 312 operations shows that correction of the abnormality under conditions of extra-corporeal circulation in combination with direct myocardial revascularization is the most adequate intervention.
mesh_terms: D002908:Chronic Disease; D001026:Coronary Artery Bypass / Q000379:methods*; D006322:Heart Aneurysm / Q000209:etiology / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000209:etiology / Q000601:surgery*; D006350:Heart Valve Prosthesis / Q000379:methods*; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D009203:Myocardial Infarction / Q000150:complications*; D013536:Suture Techniques
vernacular_title: Khirurgicheskoe lechenie oslozheniĭ infarkta miokarda.