Post infarction ventricular septal rupture: surgical considerations and results on five operated patients

D. Astolfi, N. Ciampani, D. Di Carlo, G. Di Eusanio, V. Di Luzio, A. Purcaro

Research output: Contribution to journalArticlepeer-review

Abstract

Five patients were operated on for ventricular septal rupture following myocaridal infarction. The mean time interval between occurrence of infarction and surgery was 37 days (from 4 to 54 days). At EKG, the infarction site was anteroseptal in two cases and postero inferior in three. Progressive deterioration of cardiac function leading to cardiogenic shock was noticed in four patients. Two of the five patients died in the early postoperative period. Both had been operated within the first week from the onset of the ventricular septal rupture, because of cardiogenic shock, refractory to medical therapy, The three survivors showed remarkable improvement after surgery and they are in functional class II at a mean follow up period of 20 months. Emphasis is put on factors influencing surgical treatments and prognosis of these patients.

Original languageEnglish
Pages (from-to)23-28
Number of pages6
JournalJournal of Cardiovascular Surgery
Volume18
Issue number1
Publication statusPublished - 1977

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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