PERFORATION OF THE INTERVENTICULAR SEPTUM FOLLOWING ACUTE MYOCARDIAL INFARCTION: A REPORT OF FOUR CASES DIAGNOSED ANTE MORTEM
Authors: E SAHAGUN, R O BURNS
Journal: Annals of Internal Medicine (1956)

Article1 April 1956PERFORATION OF THE INTERVENTICULAR SEPTUM FOLLOWING ACUTE MYOCARDIAL INFARCTION: A REPORT OF FOUR CASES DIAGNOSED ANTE MORTEMENRIQUE SAHAGUN, M.D., R. O. BURNS, M.D.ENRIQUE SAHAGUN, M.D., R. O. BURNS, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-44-4-657 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptINTRODUCTIONPerforation of the interventricular septum occurring as a fatal complication of acute myocardial infarction was first described by Latham1 in 1845. The first antemortem diagnosis was made by Brunn2 in 1923. Since that time numerous authors have reported cases, raising the total to approximately 100 at the present date. Thirty-six of these cases were diagnosed ante mortem.Sager in 19343 pointed out the relative simplicity of the diagnosis, and emphasized the significance of the sudden appearance of a loud precordial systolic murmur and thrill in a patient with a recent myocardial infarction.Numerous large autopsy series of deaths due...Bibliography1. LathamWeber PMML: Perforation of the interventricular septum following infarction; intravitam diagnosis, Ann. Int. Med. 19: 973, 1943. LinkGoogle Scholar2. BrunnNareffSklarKellyReuling EMJLJFTJR: Rupture of the interventricular septum, New England J. Med. 243: 431, 1950. CrossrefMedlineGoogle Scholar3. SagerMoolten RVSE: Prolonged survival after perforation of the infarcted interventricular septum in coronary arterial disease, Arch. Int. Med. 69: 108, 1952. Google Scholar4. FriedmanWhite SPD: Rupture of the heart in myocardial infarction. Experience in a large general hospital, Ann. Int. Med. 21: 778, 1944. LinkGoogle Scholar5. 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BickermanIrons LJEE: Myocardial infarction resulting in interventricular septal perforation; report of a case diagnosed during life, Ann. Int. Med. 31: 918, 1949. LinkGoogle Scholar12. GoetzGropper AAAN: Perforation of the interventricular septum, Am. Heart J. 48: 130, 1954. CrossrefMedlineGoogle Scholar13. LevyHull LE: Perforation of the interventricular septum in a case of subacute bacterial endocarditis, Am. Heart J. 33: 856, 1947. CrossrefMedlineGoogle Scholar14. BondWelfareLideMcMillan VFCRTNRL: Perforation of the interventricular septum following myocardial infarction, Ann. Int. Med. 38: 706, 1953. LinkGoogle Scholar15. GeckelerMarinoGregory GDDJJE: Early perforation of interventricular septum after myocardial infarction, J. A. M. A. 148: 1413, 1952. CrossrefMedlineGoogle Scholar16. SalomonGross SL: Perforation of the infarcted interventricular septum after myocardial infarction, J. A. M. A. 148: 1413, 1952. CrossrefMedlineGoogle Scholar17. MasterRussell AMTB: Acute coronary artery occlusion with intraventricular septal perforation, Bernheim syndrome, and superior vena cava obstruction, diagnosed clinically, Ann. Int. Med. 22: 440, 1945. LinkGoogle Scholar18. ZuckerLeibowitzBrodySussman RSHRM: Perforation of the interventricular septum, Arch. Int. Med. 89: 899, 1952. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication September 27, 1955.From the Department of Internal Medicine, Chesapeake and Ohio Hospital, Clifton Forge, Virginia. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byRupture of the Infarcted Interventricular SeptumThirteen-year survival with acquired interventricular septal defect after myocardial infarctionAcquired ventriculo-septal aneurysm with late spontaneous perforation of the septumRUPTURE OF THE INTERVENTRICULAR SEPTUM ASSOCIATED WITH ACUTE MYOCARDIAL INFARCTIONSYMPOSIUM ON CORONARY HEART DISEASEDie Coronarerkrankungen. Coronarinsuffizienz, Angina pectoris und HerzinfarktPerforation of the Infarcted Septum; Observations on Pathology and Haemodynamics 1 April 1956Volume 44, Issue 4Page: 657-667KeywordsAcute myocardial infarctionAutopsyElectrocardiographyHospital medicineMyocardial infarctionSystolic ejection murmur ePublished: 1 December 2008 Issue Published: 1 April 1956 PDF downloadLoading ...