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Clinical Approach and Surgical Results

Kanzui Matsui, MD; Jerome Harold Kay, MD; Michael Mendez, MD; Pablo Zubiate, MD; Neal Vanstrom, MD; Taro Yokoyama, MD

JAMA. 1981;245(15):1537-1539.

Abstract
Twenty-four patients underwent operation for ventricular septal rupture secondary to acute myocardial infarction. There were 14 hospital survivors (58%) and two late deaths (8%). There were eight hospital deaths (62%) of 13 patients referred in cardiogenic shock, but only two deaths (18%) of 11 patients not in shock at time of referral. All 12 current survivors showed clinical improvement, and 11 of them are in New York Heart Association functional class I or II. Eleven patients had bedside catheterization with a balloon catheter and were operated on immediately thereafter, and eight survived (73%) with no late deaths at five years. With formal heart catheterization followed by operation, there were only six survivors of 13 operated on (46%).

(JAMA 1981;245:1537-1539)

Author Affiliations
From The Los Angeles Heart Institute at The St Vincent Medical Center, Los Angeles.

Footnotes
Reprint requests to 123 S Alvarado St, Los Angeles, CA 90057 (Dr Kay).

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