Abstract
Myocardial to occur in approximately 10% of people dying of myocardial infarction, and of these, 12% are associated with perforation of the interventricular septum.<sup>1,2</sup>There are more than 250 cases of septal rupture described in the literature; however, less than 15% of these patients have survived more than two months after perforation.<sup>3</sup>To date approximately 20 patients have been treated surgically.<sup>4-6</sup>Although the mortality is quite high, earlier and more frequent surgical intervention has been suggested to improve the prognosis. The following report documents the successful repair of a ventricular septal defect which occurred during the course of an acute myocardial infarction. The clinical manifestations and present criteria for management of these patients are reviewed. <h3>Patient Summary</h3> A 48-year-old aircraft mechanic was admitted to a nearby hospital on May 8, 1967, following two to three hours of severe chest pain, breathlessness, and diaphoresis. He had an 18-year
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