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Circulation, Vol 64, 91-96, Copyright © 1981 by American Heart Association

ARTICLES

Two-dimensional echocardiographic identification of surgically correctable complications of acute myocardial infarction

GS Mintz, MF Victor, MN Kotler, WR Parry and BL Segal

The appearance of a new, loud systolic murmur in a patient with congestive heart failure after an acute myocardial infarction suggests a surgically correctable cause of the heart failure. Using two- dimensional echocardiography, we studied 14 patients who presented in this manner. Four patients had rupture of a papillary muscle with a flail mitral valve. All four had surgery; three survived. Five patients had fibrosis of the posteromedial papillary muscle. All five had surgery; three survived. Five patients had a ventricular septal defect. Three of the five had surgery; one survived. Two-dimensional echocardiography is useful in studying patients with a new systolic murmur and congestive heart failure after acute myocardial infarction to detect surgically correctable structural defects.

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