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July 20, 1970

Combined Septal Rupture Repair and Infarctectomy in Acute Myocardial Infarction

Author Affiliations

From the departments of medicine, surgery, and radiology, University of Rochester School of Medicine and Dentistry, and the Strong Memorial Hospital, Rochester, NY.

JAMA. 1970;213(3):460-462. doi:10.1001/jama.1970.03170290056015

Rupture of the ventricular septum developed three days after the onset of an acute myocardial infarction in a 57-year-old man. Nineteen days after infarction, a retrograde angiocardiogram of the left ventricle confirmed a left-to-right shunt in the septum. During cardiopulmonary bypass, the ruptured ventricular septum was repaired and an 8 × 4.5-cm aneurysmal infarction was excised. The postoperative course was uneventful, despite a small residual left-to-right shunt (1.7/1). Nine months after operation the patient was active and asymptomatic without heart-failure.