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Ventricular septal defect and mitral regurgitation secondary to myocardial infarction.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Rawlins, Michael D. Mendel, D. |
| Copyright Year | 1972 |
| Abstract | Since I had the opportunity of replying (Fleming, 1973a) to the letter of Bethea et al. (1973) on this subject, the patient I originally reported went into congestive cardiac failure. His extremely good mental and physical condition at the age of 68, nearly 9 years after his myocardial infarction, meant that surgical repair of his defect had to be considered. He was, therefore, fully reinvestigated (Bethea et al., 1973). The ventricular septal defect remained, with a pulmonary blood flow twice the systemic flow. The giant 'v' waves in the indirect left atrial pressure trace at the time of investigation 9 years previously had disappeared and he now had a 'v' wave of I9 mmHg, with an 'a' wave of 17 mmHg. Left ventricular studies showed an end-diastolic pressure of I5 mmHg and the left ventricular cineangiogram confirmed the presence of the ventricular septal defect but showed no more than trivial mitral incompetence. On 6 March I974 Mr. B. B. Milstein operated through the right ventricle to repair a fenestrated ventricular septal defect near the apex of the heart. It was noted that there was a very large healed inferior infarct. At the time of the infarction the posterior papillary muscles must have been involved. The patient made an excellent recovery, leaving hospital on the thirteenth postoperative day and remains well. The 'v' wave reported earlier (Fleming, I973b), two months after the myocardial infarction, has disappeared. It is possible that this was caused by a combination of left ventricular overload and papillary muscle dysfunction. It was evidently not due to organic mitral regurgitation, as originally suggested. H. A. Fleming, Papworth Hospital, Papworth Everard, Cambridge CB3 8RE. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://heart.bmj.com/content/heartjnl/36/9/936.full.pdf |
| PubMed reference number | 4259344v1 |
| Volume Number | 34 |
| Issue Number | 3 |
| Journal | British heart journal |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | APEX1 protein, human Artificial cardiac pacemaker Diastole Diastolic blood pressure Heart Atrium Heart Septal Defects Heart Ventricle Heart failure Infant, Extremely Premature Mitral Valve Insufficiency Myalgia Myocardial Infarction Patients Regurgitation Structure of papillary muscle Ventricular Remodeling Ventricular Septal Defects torr |
| Content Type | Text |
| Resource Type | Article |
