[Ventricle septum rupture in acute myocardial infarct: clinical, electrocardiographic, angiographic and surgical aspects].
The findings in 17 patients with ventricular septal rupture are analyzed retrospectively. Clinically this complication of acute myocardial infarction was characterized by a new holosystolic murmur and simultaneous deterioration in patient condition. Infarct related conduction disturbances were documented in 7 of the 17 patients before the rupture occurred. Early repair of the ventricular septal defect was carried out in 9 patients, 3 of whom died in the perioperative period. Survivors showed a significantly higher ejection fraction (45.5 +/- 4.5%) and significantly fewer asynergic radiants (25.8 +/- 4.5) than nonsurvivors (29.3 +/- 2.5% ejection fraction) and (37.7 +/- 2.5 asynergic radiants). Owing to the high mortality during the first few days, patients with ventricular septal rupture should be assigned urgently to a cardiological center where it is possible to carry out cardiac catheterization, angiography and ventricular septal repair without delay.
D000368:Aged; D004562:Electrocardiography; D005260:Female; D006341:Heart Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006352:Heart Ventricles; D006439:Hemodynamics; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications*; D011184:Postoperative Period; D011859:Radiography; D012189:Retrospective Studies
Ventrikelseptumruptur beim akuten Myokardinfarkt: Klinische, elektrokardiographische, angiographische und chirurgische Aspekte.