Litton T C, Sutton J P, Smith C W, Allen W B, Yarbrough J W, Leppard E M
Department of Cardiovascular Surgery, Providence Heart Institute, Columbia, South Carolina.
Am J Surg. 1988 Apr;155(4):587-9. doi: 10.1016/s0002-9610(88)80414-8.
A review of postinfarction ventricular septal defects repaired surgically at Providence Hospital over the past 6 years is presented. Although this complication of myocardial infarction carries a high mortality rate, a lower rate can be achieved with early operative intervention. Preoperative pharmacologic reduction of preload, afterload, and intra-aortic balloon pumping are only temporizing measures to allow delineation of concomitant lesions. Operative mortality does not appear to be influenced by posterior location of the ventricular septal defects.
本文回顾了过去6年在普罗维登斯医院接受手术修复的心肌梗死后室间隔缺损病例。虽然心肌梗死的这一并发症死亡率很高，但早期手术干预可降低死亡率。术前应用药物降低前负荷、后负荷以及主动脉内球囊反搏只是暂时措施，目的是明确合并存在的病变。室间隔缺损位于后方似乎并不影响手术死亡率。
