Neuhaus K L, Tebbe U, Sauer G, von Löwis of Menar P, Heinecker R, de Vivie R, Leitz K, Kreuzer H
Z Kardiol. 1983 Mar;72(3):163-7.
Between 1978 and 1982 emergency closure of postinfarction ventricular septal defect was performed in 4 patients (51--74 years) on the 3rd-7th day after acute myocardial infarction. All patients had a large left-to-right shunt and were in intractable acute heart failure; all of them survived the operation (3 patients had additional aortocoronary bypass grafts), and follow-up (0.5--4.5 years) was uncomplicated. The favorable clinical and functional results of surgical therapy indicate that postinfarction ventricular septal defects should be operated on even in patients over 70 years of age.
1978年至1982年间，对4例（年龄51 - 74岁）急性心肌梗死后第3至7天的患者进行了梗死后期室间隔缺损的急诊闭合手术。所有患者均有大量左向右分流，并处于难治性急性心力衰竭状态；所有患者均手术存活（3例患者还进行了主动脉冠状动脉搭桥术），随访（0.5 - 4.5年）无并发症。外科治疗良好的临床和功能结果表明，即使是70岁以上的患者，梗死后期室间隔缺损也应进行手术治疗。
