Surgical treatment of ventricular septal rupture complicating myocardial infarction.
A review of postinfarction ventricular septal defects repaired surgically at Providence Hospital over the past 6 years is presented. Although this complication of myocardial infarction carries a high mortality rate, a lower rate can be achieved with early operative intervention. Preoperative pharmacologic reduction of preload, afterload, and intra-aortic balloon pumping are only temporizing measures to allow delineation of concomitant lesions. Operative mortality does not appear to be influenced by posterior location of the ventricular septal defects.
Litton
T C
TC
Department of Cardiovascular Surgery, Providence Heart Institute, Columbia, South Carolina.
Sutton
J P
JP
Smith
C W
CW
Allen
W B
WB
Yarbrough
J W
JW
Leppard
E M
EM
D000368:Aged; D009202:Cardiomyopathies / Q000601:surgery; D005260:Female; D006341:Heart Rupture / Q000601:surgery*; D006342:Heart Rupture, Post-Infarction / Q000601:surgery*; D006346:Heart Septum / Q000601:surgery*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications