Document Detail

Surgery for impending myocardial infarction, acute evolving myocardial infarction, and complications of myocardial infarction.
MedLine Citation:
PMID:  1104169     Owner:  NLM     Status:  MEDLINE    
Post-infarction ventricular aneurysm, ventricular septal defect, and mitral insufficiency are all potentially amenable to surgical intervention. In each instance the results of operation and the prognosis following operation depend largely on the extent of infarction, the status of the residual myocardium, and the interval between infarction and operation. When the residual myocardium exhibits good contractility, the results are usually good. When early operation is performed in the face of a deteriorating clinical course and with poorly contracting residual myocardium, the mortality rates are extremely high. In an effort to increase the efficiency of the residual myocardium, concomitant coronary bypass surgery should be performed whenever possible. In this difficult group, more recent supportive measures such as the intra-aortic balloon pump may be particularly helpful when utilized both before and after operation. The surgical indications and results of coronary bypass surgery in impending or acute evolving myocardial infarction are not as well defined, but it is evident that myocardial revascularization may be useful in carefully selected patients.
S K Brockman; A N Brest; N K Majid
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Cardiovascular clinics     Volume:  7     ISSN:  0069-0384     ISO Abbreviation:  Cardiovasc Clin     Publication Date:  1975  
Date Detail:
Created Date:  1976-03-01     Completed Date:  1976-03-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0213744     Medline TA:  Cardiovasc Clin     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  291-301     Citation Subset:  IM    
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MeSH Terms
Acute Disease
Coronary Artery Bypass
Heart Aneurysm / etiology,  surgery
Heart Failure / etiology
Heart Septal Defects, Ventricular / etiology,  surgery
Heart Ventricles / surgery
Mitral Valve / surgery
Mitral Valve Insufficiency / etiology,  surgery
Myocardial Infarction / complications,  surgery*
Postoperative Complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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