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Original ArticleOpen Access
Perforation of Interventricular Septum in Acute Myocardial Infarction
Jootar P ,
Nakaphan P ,
Panchavinnin P ,
Sahasakul Y ,
Thongtang V ,
Srivanasont N ,
Tresukosol D ,
Chaithiraphan S
Eight cases of ruptured interventricular septum associated with myocardial infarction were
diagnosed at Siriraj Hospital between 1985 - 1995. Clinical congestive heart failure and bolosystolic
murmur were found in all. Diagnosis was confirmed by echocardiogram and right heart
catheterization in all patients. Two patients died from congestive heart failure preoperatively and the
third case died from organ failure and sepsis postoperatively. Another five cases underwent successful
ventricular septal defect closure and coronary artery bypass with good results.
diagnosed at Siriraj Hospital between 1985 - 1995. Clinical congestive heart failure and bolosystolic
murmur were found in all. Diagnosis was confirmed by echocardiogram and right heart
catheterization in all patients. Two patients died from congestive heart failure preoperatively and the
third case died from organ failure and sepsis postoperatively. Another five cases underwent successful
ventricular septal defect closure and coronary artery bypass with good results.
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