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The Annals of Thoracic Surgery, Vol 53, 335-337, Copyright © 1992 by The Society of Thoracic Surgeons
T Estrada-Quintero, BF Uretsky, S Murali and RL Hardesty
Timing of surgical repair of ventricular septal defect developing after
acute myocardial infarction remains controversial. We report the case of a
75-year-old man in whom a ventricular septal defect developed 7 days after
myocardial infarction. The patient was maintained on intraaortic balloon
pump support for 33 days before successful surgical closure. In the present
era of aggressive preoperative hemodynamic management, the strategy of
prolonged support before definitive operation on patients with myocardial
infarction in whom a ventricular septal defect develops must be
reconsidered.
ARTICLES
Prolonged intraaortic balloon support for septal rupture after myocardial infarction
Division of Cardiology, University of Pittsburgh, Pennsylvania.
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