Preoperative angiocardiography via the right heart approach is crucial for demonstrating a ventricular aneurysm in patients with post-MI ventricular septal rupture prior to surgical repair.
Supports feasibility of combined repair in post-MI VSR with aneurysm; leaves open routine use of preoperative right-heart angiocardiography.
A successful simultaneous surgical repair of rupture of the interventricular septum and left ventricular aneurysm resulting from myocardial infarction is described. Very few similar cases have been described in the literature and in none was angiocardiography performed before operation. Preoperative angiocardiographic examination to demonstrate a ventricular aneurysm is of major importance in all cases of rupture of the interventricular septum following myocardial infarction. The right heart approach with injection of contrast material into the main pulmonary artery is shown to be the method of choice for this purpose.
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Schlesinger et al. (1971) studied this question.
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