Rupture of the infarcted interventricular septum. Surgical repair with survival

Successful surgical closure of a ruptured interventricular septum following myocardial infarction is reported. The patient developed the loud pansystolic parasternal murmur characteristic of septal perforation, and cardiac catheterization confirmed an unusually large left-to-right shunt. The patient...

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Published inCirculation (New York, N.Y.) Vol. 26; no. 6; pp. 1321 - 1328
Main Authors BOICOURT, O W, RITZMANN, L W, CHASE, J D, STARR, A, McCORD, C W
Format Journal Article
LanguageEnglish
Published United States 01.12.1962
Subjects
Cardiac Surgical Procedures
Heart Septum
Humans
Myocardial Infarction
Old Medline
Thoracic Surgery
Ventricular Septum
HEART SURGERY
MYOCARDIAL INFARCT
HEART SEPTUM, VENTRICULAR
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Summary:Successful surgical closure of a ruptured interventricular septum following myocardial infarction is reported. The patient developed the loud pansystolic parasternal murmur characteristic of septal perforation, and cardiac catheterization confirmed an unusually large left-to-right shunt. The patient's course was not the typical rapid deterioration with shock or intractable heart failure, but when myocardial insufficiency developed insidiously 5 weeks postinfarction, surgical closure with a Teflon patch was accomplished during cardiac bypass. Since early death ensues so frequently, surgical repair has been attempted in only a small number of instances; this patient is one of the very few with successful closure and long-term survival. The pathology, clinical course, and cardiac catheterization data of this entity are reviewed from previously reported cases.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0009-7322
1524-4539
DOI:10.1161/01.CIR.26.6.1321