This case demonstrates that surgical repair of combined left and right ventricular free wall and septal rupture after acute myocardial infarction can result in long-term survival and functional recovery.
Supports feasibility of repair in combined rupture; leaves open optimal timing, selection, and generalizability.
The following case is the first report of successful repair of combined left and right ventricular free wall and ventricular septal rupture. Reports of left ventricular free wall and septal rupture and reports of right ventricular free wall and septal rupture have been published both with and without successful surgical repair. This case demonstrates the presence of left and right ventricular free wall rupture along with septal rupture based upon cardiac catheterization and operative findings. In spite of her severe mechanical complications and prolonged hospital course, the patient is completely functional 1 year after surgical repair.
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Blau et al. (1995) studied this question.
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