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

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 r...

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Bibliographic Details
Published in:Circulation (New York, N.Y.) N.Y.), 1981-07, Vol.64 (1), p.91-96
Main Authors: Mintz, G S, Victor, M F, Kotler, M N, Parry, W R, Segal, B L
Format: Article
Language:English
Subjects:
Acute Disease
Echocardiography - methods
Heart Failure - etiology
Heart Rupture
Heart Septal Defects, Ventricular - complications
Humans
Mitral Valve Insufficiency - surgery
Myocardial Infarction - complications
Myocardial Infarction - diagnosis
Myocardial Infarction - surgery
Papillary Muscles - injuries
Papillary Muscles - physiopathology
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Summary: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.
ISSN:0009-7322
1524-4539
DOI:10.1161/01.cir.64.1.91