Why the study?
Does surgical infarctectomy improve survival and clinical status in patients with serious complications 1-9 weeks after acute myocardial infarction?
Does surgical infarctectomy improve survival and clinical status in patients with serious complications 1-9 weeks after acute myocardial infarction?
Surgical infarctectomy for severe post-AMI complications showed initial surgical survival in all 5 cases, with 3 patients achieving clinical compensation at 6 to 12 months.
May warrant consideration in select refractory post-MI cases; leaves open survival benefit versus medical therapy.
The effect of surgical infarctectomy 1‐9 weeks after acute myocardial infarction (AMI) has been evaluated in five patients with serious complications such as progressive heart failure and recurring tachyarrhythmias. Two patients had ventricular septal rupture as well. The diagnosis of left ventricular akinesia with ineffective motion of the myocardial wall was established by cineventriculography. All patients survived the operation. One did not regain consciousness and died from cerebral embolic disease after 1 week and another had sudden cardiac arrest and died 1½ weeks after the operation. The remaining three patients are all clinically well compensated 6 to 12 months after the operation and are at present living a fairly normal life. Cardiac catheterization in one case showed much improved left ventricular function.
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Nitter‐Hauge et al. (1972) studied this question.
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