BRIAN C. CAMPION, M.D.; CARLOS E. HARRISON JR., M.D., PH.D., F.A.C.P.; EMILIO R. GIULIANI, M.D., F.A.C.P.; THOMAS T. SCHATTENBERG, M.D.; F. HENRY ELLIS JR., M.D., PH.D.
Data from seven patients seen at the Mayo Clinic with ventricular septal defect (VSD) after myocardial infarction are presented. Six of these patients have undergone surgery. In addition, reports of 20 other surgical cases were found in the literature. Clinical findings, catheterization data, and operative results are reviewed and discussed. Corrective surgery for this condition is available and is the treatment of choice. Preoperative right heart catheterization should be performed in all patients and carries a low risk despite the critically ill status of the patients. If possible, the closure of the VSD should be delayed 2 months or more after infarction to allow firm, fibrous healing of the region around the VSD.
CAMPION BC, HARRISON CE, GIULIANI ER, SCHATTENBERG TT, ELLIS FH. Ventricular Septal Defect After Myocardial Infarction. Ann Intern Med. 1969;70:251–261. doi: 10.7326/0003-4819-70-2-251
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Published: Ann Intern Med. 1969;70(2):251-261.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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