Perforation of interventricular septum in acute myocardial infarction

Jootar, P.; Nakaphan, P.; Panchavinnin, P.; Sahasakul, Y.; Thongtang, V.; Srivanasont, N.; Tresukosol, D.; Chaithiraphan, S.

Journal of the Medical Association of Thailand 80(1): 16-21

1997


ISSN/ISBN: 0125-2208
PMID: 9078812
Document Number: 1110
Eight cases of ruptured interventricular septum associated with myocardial infarction were diagnosed at Siriraj Hospital between 1985 - 1995. Clinical congestive heart failure and holosystolic 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 successful ventricular septal defect closure and coronary artery bypass with good results.

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Perforation of interventricular septum in acute myocardial infarction