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Title: | Ventricular septal rupture following myocardial infarction. Long-term survival of patients who did not undergo surgery. Single-centre experience. |
Authors: | Sivadasan Pillai, Harikrishnan Tharakan, Jaganmohan Titus, Thomas Kumar, Ajith Sivasubramonian, Sivasankaran Krishnamoorthy, Kavassery Mahadevan Dora, Santhosh Nair, Krishnakumar Namboodiri, Narayanan |
Keywords: | Cardiology |
Issue Date: | 2005 |
Publisher: | Acta cardiologica |
Citation: | Acta cardiologica. 60; 4; 403-7 |
Abstract: | Long-term survival is rare in patients not undergoing surgery after post-myocardial infarction ventricular septal rupture. We report our experience of seven patients out of 27, who did not undergo surgery and were followed up for a mean period of 2.8 years. They were evaluated after a mean period of 2.2 months after infarction in our centre. The septal defects measured 9.8 mms on average and the mean left-to-right shunt ratio was 1.98: 1. The mean pulmonary artery, right atrial and left ventricular end diastolic pressures were 28.3 +/- 10.6, 4 +/- 3 and 15.8 +/- 4.8 mm Hg, respectively. Only three out of seven patients had LV aneurysm and all patients had single-vessel disease. Smaller defect size, minimal left-to-right shunt and preserved right ventricular function may be the factors responsible for long-term survival. |
URI: | http://dx.doi.org/10.2143/AC.60.4.2004989 http://dspace.sctimst.ac.in/jspui/handle/123456789/1279 |
Appears in Collections: | Journal Articles |
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