Perforation of Interventricular Septum in Acute Myo- cardial Infarction
PAYONK JOOTAR,M.D.*, PRADIT PANCHAVINNIN, M.D.*, VICHIAN THONGTANG, M.D.*, DAMRAS TRESUKOSOL, M.D.*, PINITJAI NAKAPHAN, M.D.*, YONGYUTH SAHASAKUL, M.D.*, NARIS SRIVANASONT,M.D.*, SUPHACHAI CHAITHIRAPHAN, M.D., F.A.C.P., F.R.A.C.P., F.A.C.C.*
Affiliation : * Division of Cardiology, Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.
Abstract Eight cases of ruptured interventricular septum associated with myocardial infarction were diagnosed at Siriraj Hospital between 1985 - 1995. Clinical congestive heart failure and bolo- systolic murmur were found in all. Diagnosis was confirmed by echocardiogram and right heart catheterization in all patients. Two patients died from congestive heart failure preoperatively and the third case died from organ failure and sepsis postoperatively. Another five cases underwent success- ful ventricular septal defect closure and coronary artery bypass with good results.
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