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  • Title: [The treatment of post-infarction interventricular septal rupture].
    Author: Lavigne JP, Van Damme R, Limet R.
    Journal: Acta Chir Belg; 1989; 89(1):7-14. PubMed ID: 2718686.
    Abstract:
    From 1976 to 1988, 15 patients with septal rupture after acute myocardial infarction were admitted to our department of Cardiovascular Surgery. Fourteen patients were operated on. In 8 cases, surgical correction was carried out in the acute phase (delay: less than 10 days). Operative mortality was 36%. Patch loosening was observed in 4 patients who were operated on in the acute phase. Five patients are still in life with a survival of 5 months to 5 years. This report deals with the risk factors, determinant for survival: localization of the myocardial infarction and the septal rupture, preoperative clinical and hemodynamical status of the patient, persistence of a residual shunt and severity of coronary atherosclerosis.
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