Ventricular septal rupture following myocardial infarction. Long-term survival of patients who did not undergo surgery. Single-centre experience.

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dc.contributorSivadasan Pillai, Harikrishnan
dc.contributorTharakan, Jaganmohan
dc.contributorTitus, Thomas
dc.contributorKumar, Ajith
dc.contributorSivasubramonian, Sivasankaran
dc.contributorKrishnamoorthy, Kavassery Mahadevan
dc.contributorDora, Santhosh
dc.contributorNair, Krishnakumar
dc.contributorNamboodiri, Narayanan
dc.date.accessioned2012-12-04T11:45:42Z
dc.date.available2012-12-04T11:45:42Z
dc.date.issued2005
dc.description.abstractLong-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.
dc.identifier.citationActa cardiologica. 60; 4; 403-7en_US
dc.identifier.urihttp://dx.doi.org/10.2143/AC.60.4.2004989
dc.identifier.urihttps://dspace.sctimst.ac.in/handle/123456789/1279
dc.publisherActa cardiologica
dc.subjectCardiology
dc.titleVentricular septal rupture following myocardial infarction. Long-term survival of patients who did not undergo surgery. Single-centre experience.
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