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Ann Thorac Surg 1977;23:483-486
© 1977 The Society of Thoracic Surgeons

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Articles

Posterior Rupture of the Interventricular Septum after Acute Myocardial Infarction: Successful Early Surgical Repair

Department of Cardiology, Coronary Care Unit, Hopital Ambroise Paré, Boulogne, and the Université René Descartes, Paris, France

Accepted for publication August 25, 1976.

^* Address reprint requests to Dr. Kahn, Coronary Care Unit, Department of Cardiology, Hopital Ambroise Paré, 9, ave Charles de Gaulle, 92100 Boulogne, France.

A patient with a large posterior ventricular septal defect complicating an acute inferior myocardial infarction is reported. Because of medically intractable biventricular failure, temporary circulatory assistance was initiated using intraaortic balloon pumping. Emergency coronary angiography, ventriculography, and subsequent operation were carried out. Operative repair involved closure of the septal defect with the use of a Dacron patch, infarctectomy, and aortocoronary bypass grafting and resulted in long-term survival of the patient.

This article has been cited by other articles:

				J. G. Coles, G. G. Youngson, and R. O. Heimbecker Utilization of the Free Wall of the Left Ventricle for Repair of Septal Rupture after Infarction Ann. Thorac. Surg., December 1, 1980; 30(6): 595 - 598. [Abstract] [PDF]

				B. Brandt III, C. B. Wright, and J. L. Ehrenhaft Ventricular Septal Defect Following Myocardial Infarction Ann. Thorac. Surg., June 1, 1979; 27(6): 580 - 589. [Abstract] [PDF]