title: [Ventricular septal defect after acute myocardial infarction].
abstract: We report six patients from our Intensive Care Unit with ventricular septal rupture (VSR) post acute myocardial infarction. There were 3 males and 3 females, mean age 57.8. None of them had prior myocardial infarction. Four patients had recent onset angina and 2 had not previous angina. Inferior wall myocardial infarction was two-fold times more frequent than anterior wall infarction. Three patients had right ventricular infarction. Early severe heart failure was present in 85% of patients, being sudden in onset in 3. In 2 patients surgical closure of VSR was performed, being it successful in 1 with good long-term survival. In conclusion, VSR is a serious complication of acute myocardial infarction. Accuracy in diagnosis and solid therapeutic measures are required.
authors.forename: G L
authors.initials: GL
authors.lastname: Don
authors.forename: J
authors.initials: J
authors.lastname: de Guernica
authors.forename: M
authors.initials: M
authors.lastname: Díaz Gavier
mesh_terms: D000368:Aged; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*
vernacular_title: Comunicación interventricular posinfarto agudo de miocardio.