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Document Details : Title: Ventricular septal rupture following myocardial infarction Subtitle: Long-term survival of patients who did not undergo surgery. Single-centre experience. Author(s): SIVADASAN PILLAI, Harikrishnan , THARAKAN, Jaganmohan , TITUS, Thomas , KUMAR, Ajith , SIVASUBRAMONIAN, Sivasankarab , KAVASSERY MAHADEVAN, Krishnamoorthy , DORA, Santosh , NAIR, Krishnakumar , NAMBOODIRI, Narayanan Journal: Acta Cardiologica Volume: 60 Issue: 4 Date: August 2005 Pages: 403-407 DOI: 10.2143/AC.60.4.2004989 Abstract : Long-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. |