Document Detail

Ventricular septal rupture following myocardial infarction. Long-term survival of patients who did not undergo surgery. Single-centre experience.
MedLine Citation:
PMID:  16128373     Owner:  NLM     Status:  MEDLINE    
Long-term survival is rare in patients not undergoing surgery after post-myocardial infarction ventricular septal rupture. We report our experience of seven patients out of 27, who did not undergo surgery and were followed up for a mean period of 2.8 years. They were evaluated after a mean period of 2.2 months after infarction in our centre. The septal defects measured 9.8 mms on average and the mean left-to-right shunt ratio was 1.98: 1. The mean pulmonary artery, right atrial and left ventricular end diastolic pressures were 28.3 +/- 10.6, 4 +/- 3 and 15.8 +/- 4.8 mm Hg, respectively. Only three out of seven patients had LV aneurysm and all patients had single-vessel disease. Smaller defect size, minimal left-to-right shunt and preserved right ventricular function may be the factors responsible for long-term survival.
Harikrishnan Sivadasan Pillai; Jaganmohan Tharakan; Thomas Titus; Ajith Kumar; Sivasankaran Sivasubramonian; Kavassery Mahadevan Krishnamoorthy; Krishnamoorthy Kavassery Mahadevan; Santhosh Dora; Krishnakumar Nair; Narayanan Namboodiri
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta cardiologica     Volume:  60     ISSN:  0001-5385     ISO Abbreviation:  Acta Cardiol     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-08-30     Completed Date:  2006-02-16     Revised Date:  2009-06-11    
Medline Journal Info:
Nlm Unique ID:  0370570     Medline TA:  Acta Cardiol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  403-7     Citation Subset:  IM    
Sree Chitra Tirunal Institute for Medical Sciences and Technology Thiruvananthapuram, Kerala, India.
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MeSH Terms
Exercise Test
Follow-Up Studies
Middle Aged
Myocardial Infarction / complications*
Survival Analysis
Ventricular Septal Rupture / etiology*,  mortality,  physiopathology
Erratum In:
Acta Cardiol. 2006 Aug;61(4):497
Note: Kavassery Mahadevan, Krishnamoorthy [corrected to Krishnamoorthy, Kavassery Mahadevan]

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