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Medline ® Abstract for Reference 53

of 'Mechanical complications of acute myocardial infarction'

Surgical treatment of ventricular septal rupture complicating myocardial infarction.
Litton TC, Sutton JP, Smith CW, Allen WB, Yarbrough JW, Leppard EM
Am J Surg. 1988;155(4):587.
A review of postinfarction ventricular septal defects repaired surgically at Providence Hospital over the past 6 years is presented. Although this complication of myocardial infarction carries a high mortality rate, a lower rate can be achieved with early operative intervention. Preoperative pharmacologic reduction of preload, afterload, and intra-aortic balloon pumping are only temporizing measures to allow delineation of concomitant lesions. Operative mortality does not appear to be influenced by posterior location of the ventricular septal defects.
Department of Cardiovascular Surgery, Providence Heart Institute, Columbia, South Carolina.