Letter: VSD following myocardial infarction.

Letter: VSD following myocardial infarction.
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信:心肌梗塞后的 VSD。

DOI:
10.1161/01.cir.52.3.522
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发表时间:
1975
期刊:
影响因子:
37.8
通讯作者:
C. Davidson
C. Davidson
中科院分区:
医学1区
文献类型:
--
作者:
C. Davidson;C. Davidson

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致编辑:我们对Giuliani医生和他的同事在心肌梗死后室间隔破裂的手术治疗中取得的成功结果非常感兴趣。我们最近有一个病人,他最初病得太重,不能做心脏手术,但后来病情好转,没有进一步的明确治疗。这使我们探究与可能的手术治疗有关的病情的自然史。一名54岁男性,先前健康状况良好,于1973年4月因房间隔心肌梗死入院。入院十二小时后,出现了全收缩期的大杂音和震颤,在左胸骨边缘最大,此后一直没有变化。
To the Editor: We were most interested to learn of the successful results of Dr. Giuliani and his colleagues' in the surgical treatment of ventricular septal rupture following myocardial infarc-tion. We recently had a patient who was initially too ill for cardiac surgery, but who subsequently improved without further definitive treatment. This has led us to inquire into the natural history of the condition in relation to possible surgical treatment.A 54-year-old man, previously in good health, was admitted with an anteroseptal myocardial infarct in April 1973. Twelve hours after admission a loud pansystolic mur-mur and thrill developed, whichwere maximum at the left sternal edge, and which have persisted unchanged since.