Simultaneous surgical correction of complicated forms of myocardial infarct--ventricular septal defect and left-ventricular aneurysm
Krakovskiĭ, A.A.; Vasilidze, T.V.
Kardiologiia 21(1): 31-34
1981
ISSN/ISBN: 0022-9040 PMID: 7206441 Document Number: 179523
Thirteen patients with postinfarction ventricular septal defect and aneurysm of the left ventricle are discussed. Their ages ranged from 46 to 68 years. Six of them underwent operation in periods ranging from 22 days to 11 months, seven were given drug therapy. Six of these seven died from acute cardiac insufficiency or recurrent myocardial infarction in periods of 8 to 78 days; one patient died in 10 months. Five of the six patients who were operated on were discharged from the clinic in a satisfactory condition, one female patient died in the early postoperative period from acute left-ventricular insufficiency. Late survival (follow-up of 3 years) was 83%. The method for selecting the patients for operative treatment and the necessary volume of the intervention are specified.