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Combined Septal Rupture Repair and Infarctectomy in Acute Myocardial Infarction

Arthur J. Moss, MD; James DeWeese, MD; Elliot Lipchick, MD; Edwin Olsan, MD
JAMA. 1970;213(3):460-462. doi:10.1001/jama.1970.03170290056015.
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Rupture of the ventricular septum developed three days after the onset of an acute myocardial infarction in a 57-year-old man. Nineteen days after infarction, a retrograde angiocardiogram of the left ventricle confirmed a left-to-right shunt in the septum. During cardiopulmonary bypass, the ruptured ventricular septum was repaired and an 8 × 4.5-cm aneurysmal infarction was excised. The postoperative course was uneventful, despite a small residual left-to-right shunt (1.7/1). Nine months after operation the patient was active and asymptomatic without heart-failure.


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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