title: [Ventricular septal defect as a complication of myocardial infarct].
abstract: Between 1978 and 1982 emergency closure of postinfarction ventricular septal defect was performed in 4 patients (51--74 years) on the 3rd-7th day after acute myocardial infarction. All patients had a large left-to-right shunt and were in intractable acute heart failure; all of them survived the operation (3 patients had additional aortocoronary bypass grafts), and follow-up (0.5--4.5 years) was uncomplicated. The favorable clinical and functional results of surgical therapy indicate that postinfarction ventricular septal defects should be operated on even in patients over 70 years of age.
mesh_terms: D000368:Aged; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006322:Heart Aneurysm / Q000175:diagnosis; D006341:Heart Rupture / Q000175:diagnosis / Q000209:etiology; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000209:etiology*; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis
vernacular_title: Der Ventrikelseptumdefekt als Komplikation des Myokardinfarkts.