open access

Vol 64, No 3 (2006)
Other
Published online: 2006-03-29
Submitted: 2012-12-28
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Case report
Surgical treatment of interventricular septum rupture in an 87-year-old female with acute antero-lateral myocardial infarction and 97% risk according to the Euroscore scale

Zbigniew Juraszyński, Joanna Kotlarska, Wojciech Drewniak, Krzysztof Kotliński, Iwona Huńka, Marcin Borys, Marek Dąbrowski
Kardiol Pol 2006;64(3):297-299.

open access

Vol 64, No 3 (2006)
Other
Published online: 2006-03-29
Submitted: 2012-12-28

Abstract

Rupture of the interventricular septum is a serious complication of myocardial infraction (MI). It occurs in 1-3% of all MI cases, usually within 2 weeks after infraction. In 60% of the cases post-MI ventricular septal defects (VSD) are the result of completely occluded coronary artery supplying anterior wall of left ventricle and subsequent transmural MI. 50% of patients die within the first week after the rupture unless they are surgically treated. In this case report we describe an 87-year-old woman with post-MI VSD who was successfully operated (endocardial patch exclusion technique, proposed by David). In spite of a very high predicted risk (97% by Euroscore), calculated high risk should not be considered as the contraindication for life-saving operation.

Abstract

Rupture of the interventricular septum is a serious complication of myocardial infraction (MI). It occurs in 1-3% of all MI cases, usually within 2 weeks after infraction. In 60% of the cases post-MI ventricular septal defects (VSD) are the result of completely occluded coronary artery supplying anterior wall of left ventricle and subsequent transmural MI. 50% of patients die within the first week after the rupture unless they are surgically treated. In this case report we describe an 87-year-old woman with post-MI VSD who was successfully operated (endocardial patch exclusion technique, proposed by David). In spite of a very high predicted risk (97% by Euroscore), calculated high risk should not be considered as the contraindication for life-saving operation.
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Keywords

VSD; myocardial infarction

About this article
Title

Case report
Surgical treatment of interventricular septum rupture in an 87-year-old female with acute antero-lateral myocardial infarction and 97% risk according to the Euroscore scale

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 64, No 3 (2006)

Pages

297-299

Published online

2006-03-29

Bibliographic record

Kardiol Pol 2006;64(3):297-299.

Keywords

VSD
myocardial infarction

Authors

Zbigniew Juraszyński
Joanna Kotlarska
Wojciech Drewniak
Krzysztof Kotliński
Iwona Huńka
Marcin Borys
Marek Dąbrowski

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