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Ann Thorac Surg 1978;25:236-239
© 1978 The Society of Thoracic Surgeons

Articles

Posterior Ventricular Aneurysm, Severe Mitral Regurgitation, and Rupture of the Left Ventricle after Acute Myocardial Infarction: Six-Year Survival after Surgical Correction

Phillip N. West, M.D., Richard C. Shaw, M.D., Clarence S. Weldon, M.D.*

Department of Surgery, Division of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis, MO.

Accepted for publication August 15, 1977.

* Address reprint requests to Dr. Weldon, Division of Cardiothoracic Surgery, Washington University School of Medicine, 4960 Audubon Ave, St. Louis, MO 63110

Posterior ventricular aneurysm and severe mitral regurgitation due to acute myocardial infarction are rarely recognized during life. This report describes the successful surgical treatment of a patient with this combination of lesions who at operation was found to have rupture of the left ventricle as well. Aneurysmectomy, mitral valve replacement, and coronary artery bypass were performed with a gratifying late result. Aggressive investigation of patients with hemodynamic deterioration after posterior myocardial infarction may identify surgically correctable mechanical complications.




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Surgical Salvage of Heart Rupture: Report of Two Cases and Review of the Literature
Ann. Thorac. Surg., August 1, 1983; 36(2): 209 - 213.
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