title: [Can cardiac surgery be deferred when acute myocardial infarction is complicated by interventricular septum rupture? -- two case reports].
abstract: 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.
authors.affiliation: II Klinika Kardiologii; Instytut Kardiologii Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków.
authors.forename: Artur
authors.initials: A
authors.lastname: Dziewierz
authors.forename: Dariusz
authors.initials: D
authors.lastname: Dudek
authors.forename: Tomasz
authors.initials: T
authors.lastname: Rakowski
authors.forename: Roman M
authors.initials: RM
authors.lastname: Wojdyła
authors.forename: Karol
authors.initials: K
authors.lastname: Wirzbicki
authors.forename: Andrzej
authors.initials: A
authors.lastname: Kmita
authors.forename: Jacek S
authors.initials: JS
authors.lastname: Dubiel
authors.forename: Jerzy
authors.initials: J
authors.lastname: Sadowski
mesh_terms: 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*