[Surgical treatment of interventricular septum rupture in an 87-year-old female with acute antero-lateral myocardial infarction and 97% risk according to the Euroscore scale].
Rupture of the interventricular septum is a serious complication of myocardial infraction (MI). It occurs in 1-3% of all MI cases, usually within 2 weeks after infraction. In 60% of the cases post-MI ventricular septal defects (VSD) are the result of completely occluded coronary artery supplying anterior wall of left ventricle and subsequent transmural MI. 50% of patients die within the first week after the rupture unless they are surgically treated. In this case report we describe an 87-year-old woman with post-MI VSD who was successfully operated (endocardial patch exclusion technique, proposed by David). In spite of a very high predicted risk (97% by Euroscore), calculated high risk should not be considered as the contraindication for life-saving operation.
Juraszyński
Zbigniew
Z
I Klinika Kardiochirurgii, Instytut Kardiologii, Alpejska 42, 04-628 Warszawa. zjurasz@wp.pl
Kotlarska
Joanna
J
Drewniak
Wojciech
W
Kotliński
Krzysztof
K
Huńka
Iwona
I
Borys
Marcin
M
Dabrowski
Marek
M
D000369:Aged, 80 and over; D006348:Cardiac Surgical Procedures / Q000379:methods*; D003327:Coronary Disease / Q000150:complications / Q000175:diagnosis; D005260:Female; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000150:complications; D009203:Myocardial Infarction / Q000150:complications*; D011044:Poland; D011183:Postoperative Complications; D018570:Risk Assessment / Q000706:statistics & numerical data; D016896:Treatment Outcome; D014463:Ultrasonography; D018658:Ventricular Septal Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*