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Between 1978 and 1984 6 cases of ventricular septal defect after myocardial infarction were referred to this hospital. All 6 patients underwent cardiac catheterisation, had severe pulmonary hypertension and large left-to-right shunts (mean 64%). They were treated with high doses of diuretics and vasodilators, and underwent delayed surgery 6 weeks after rupture. Follow-up is from 1 to 7 years. There has been 1 late, non-cardiac death. The remainder are well. In our experience patients with congestive cardiac failure complicating ventricular septal defect after infarction can be stabilized initially on diuretic and vasodilator therapy, and surgery can safely be deferred until septal fibrosis allows adequate closure.
D J Gillmer, and
J A Odell, and
A S Mitha
February 1969,
Annals of internal medicine,
D J Gillmer, and
J A Odell, and
A S Mitha
January 1987,
Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina),
D J Gillmer, and
J A Odell, and
A S Mitha
February 2022,
Postgraduate medical journal,
D J Gillmer, and
J A Odell, and
A S Mitha
August 1973,
Archives of surgery (Chicago, Ill. : 1960),
D J Gillmer, and
J A Odell, and
A S Mitha
June 1979,
The Annals of thoracic surgery,
D J Gillmer, and
J A Odell, and
A S Mitha
June 1973,
The West African medical journal and Nigerian medical & dental practitioner,
D J Gillmer, and
J A Odell, and
A S Mitha
November 2013,
Journal of cardiac surgery,
D J Gillmer, and
J A Odell, and
A S Mitha
January 1967,
The Journal of the Association of Physicians of India,
D J Gillmer, and
J A Odell, and
A S Mitha
May 2017,
Revue medicale suisse,
D J Gillmer, and
J A Odell, and
A S Mitha
July 1980,
The Journal of thoracic and cardiovascular surgery,
