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Report of a Case with Prolonged Survival, Diagnosed Ante Mortem by Cardiac Catheterization, and Review of the Literature

WINFRED Y. LEE, M.D.; LEONARD CARDON, M.D.; SHELDON J. SLODKI, M.D.

Arch Intern Med. 1962;109(6):731-741.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Perforation of the interventricular septum as a complication of acute myocardial infarction has been reported with increasing frequency and has been periodically reviewed.^1-3 The condition was first described anatomically by Latham⁴ in 1845. The first antemortem diagnosis was made in 1923 by Brunn.⁵ Sager¹ in his review of 18 cases in 1934 stressed that the diagnosis can be made from the sudden appearance of a murmur, which resembles that heard in congenital ventricular septal defect in a patient who has had a recent acute myocardial infarction. In recent years, most reported cases have been diagnosed ante mortem and some have been confirmed by cardiac catheterization.^3,6-9 The first attempt at surgical correction of this acquired defect was made by Cooley et al.⁷ in 1957. At the present time, 116 years after Latham's initial description, the world literature contains approximately 220 cases.

The recent advances in . . . [Full Text PDF of this Article]

Author Affiliations
CHICAGO

From the Cook County Hospital, and the Departments of Medicine of the Northwestern University Medical School, and the University of Illinois College of Medicine.

Footnotes
Submitted for publication Feb. 28, 1961.

This investigation was supported (in part), by a research grant, HF-10,990, from the Hektoen Institute for Medical Research Public Health Service.

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