Abstract
Clinical and angiographic findings are reported in a consecutive series of nineteen patients with post infarction ventricular septal defect (PIVSD). In all patients PIVSD complicated a first myocardial infarct and none had a history of angina pectoris prior to presentation. In over 50% of the patients PIVSD occurred within three days of infarction. The mean patient age was 65 years. Single vessel disease was noted in 63% of the patients. The mean left ventricular ejection fraction was 27%. Contrast left ventriculography localised the defect in all patients. Although a comprehensive cardiac ultrasound examination will generally confirm the diagnosis of PIVSD, preoperative coronary angiography is essential for the selection of those patients most likely to benefit from concomitant coronary artery bypass grafting at the time of surgical repair of the interventricular septum.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Reddy, S. G., Roberts, W. C. Frequency of rupture of the left ventricular free wall or ventricular septum among necropsy cases of fatal acute myocardial infarction since the introduction of coronary care units. Am. J. Cardiol. 1989; 63; 906–911.
Grossman, W., Baim, D. S. Cardiac catheterisation, angiography, and intervention. Philadelphia. Lea and Febiger 1991; 166–185
Bansal, R. C., Eng, A. K., Shakudo, M. Role of two dimensional echocardiography, pulsed, continuous wave and colour flow doppler techniques in the assessment of ventricular septal rupture after myocardial infarction. Am. J. Cardiol 1990; 65: 852–860.
Mann, J. M., Roberts, W. C. Acquired ventricular septal defect during acute myocardial infarction: Analysis of 38 unoperated necropsy patients and comparison with 50 unoperated necropsy patients without rupture. Am. J. Cardiol. 1988; 62: 8–19.
Dellborg, M., Held, P., Swedberg, K., Vedin, A. Rupture of the myocardium occurrence and risk factors. Br. Heart. J. 1985; 54 11–16.
Heitmiller, R., Jacobs, M. L., Daggett, W. M. Surgical management of postinfarction ventricular septal rupture (current review). Ann. Thorac. Surg. 1986; 41: 683–691.
Chaffin, J. S., Daggett, W. M. Mitral valve replacement: a nine year follow up of risks and survivals. Ann. Thorac. Surg. 1979; 26: 357–361.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Leavey, S., Galvin, J., McCann, H. et al. Post-myocardial infarction ventricular septal defect: An angiographic study. I.J.M.S. 163, 182–183 (1994). https://doi.org/10.1007/BF02967226
Issue Date:
DOI: https://doi.org/10.1007/BF02967226