[Can cardiac surgery be deferred when acute myocardial infarction is complicated by interventricular septum rupture? -- two case reports].
Although in patients with interventricular septum rupture complicating acute myocardial infarction urgent cardiac surgery is suggested as a method of choice by current ESC and ACC/AHA guidelines, mortality is high. In some patients, intra-aortic counterpulsation and optimisation of medical therapy may stabilise patients condition and increased the safety of elective cardiac surgery which can be performed a few weeks later. In this report we describe two patients with this condition who were successfully treated using a conservative approach and subsequent elective surgery.
Dziewierz
Artur
A
II Klinika Kardiologii; Instytut Kardiologii Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków.
Dudek
Dariusz
D
Rakowski
Tomasz
T
Wojdyła
Roman M
RM
Wirzbicki
Karol
K
Kmita
Andrzej
A
Dubiel
Jacek S
JS
Sadowski
Jerzy
J
D004452:Echocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000000981:diagnostic imaging; D016896:Treatment Outcome; D018658:Ventricular Septal Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*