This paper provides a narrative overview of the indications and subdivisions of myocardial surgery, including revascularization and management of myocardial infarction complications.
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Provides narrative guidance on myocardial surgery indications; leaves open the need for systematic reviews to inform decisions.
This paper attempts to place the various subdivisions of myocardial surgery into perspective. There is a great deal of overlap in these subdivisions, and in any one of them the principles of coronary revascularization, resection of necrotic or fibrosed myocardium, valve replacement and septal closure might be indicated. The subject will be discussed under the following headings: (i) angina pectoris; (ii) impending infarction; (iii) acute uncomplicated myocardial infarction; (iv) cardiogenic shock complicating myocardial infarction; (v) complications of myocardial infarction: (a) left ventricular aneurysm and akinetic area, (b) ventricular septal defect, (c) papillary muscle dysfunction.
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Windsor et al. (1973) studied this question.
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