Petrosian Iu S, Krakovskiĭ A A
Kardiologiia. 1984 Sep;24(9):51-3.
Twenty-seven patients with post-infarction defect of the ventricular septum were examined: 27 had sounding of the right portions of the heart, 23 left ventriculography, 22 selective coronary angiography. The decision on the timing of the operation and the extent of surgery should be based on the findings obtained during intracardiac examination. If the grave condition of the patient is caused by a heavy drainage of the blood through the defect of the ventricular septum and by the volumetric overload of the heart then urgent surgery is indicated. On the other hand, if the severity of the patient's state is determined by mostly myocardial contractility disorders then the wait-and-see approach is appropriate. The intracardiac examination is a decisive method of the diagnosis of a post-infarction defect of the ventricular septum and is indicated for all patients with this disease. The extent of the examination is determined by the clinical state of the patient.
对27例心肌梗死后室间隔缺损患者进行了检查：27例行右心探查，23例行左心室造影，22例行选择性冠状动脉造影。手术时机和手术范围的决定应基于心内检查结果。如果患者病情严重是由室间隔缺损导致的大量血液分流和心脏容量负荷过重引起的，那么应进行紧急手术。另一方面，如果患者病情严重主要是由心肌收缩功能障碍决定的，那么观察等待的方法是合适的。心内检查是诊断心肌梗死后室间隔缺损的决定性方法，所有患有这种疾病的患者都应进行该项检查。检查范围由患者的临床状况决定。
