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CORONARY THROMBOSIS: PERFORATION OF THE INFARCTED INTERVENTRICULAR SEPTUM

CORONARY THROMBOSIS: PERFORATION OF THE INFARCTED INTERVENTRICULAR SEPTUM Abstract Acquired perforation of the infarcted interventricular septum is a rare condition which is infrequently diagnosed. The only reported case in which an antemortem diagnosis was established is that of Brunn in 1923. The purpose of this report is to present another case of this complication of coronary thrombosis and to review the subject completely. I shall also attempt to present the criteria which make this condition, rare as it is, one that is clinically easily recognizable. Krumbhaar and Crowell,1 in 1925, gathered from the literature 654 cases of nontraumatic rupture of the heart, almost all secondary to coronary occlusion. At present the total is well over 700. From these figures it is evident that rupture of the heart is not rare. However, there are recorded only 17 cases of perforation of the infarcted interventricular septum, or nearly 3 per cent of all reported nontraumatic ruptures of the heart. With the References 1. Krumbhaar, E. B., and Crowell, C.: Spontaneous Rupture of the Heart , Am. J. M. Sc. 170:828 ( (Dec.) ) 1925.Crossref 2. Latham, P. M.: Lectures on Subjects Connected with Clinical Medicine Comprising Diseases of the Heart , London, Longmans, Brown, Green and Longmans, 1845, vol. 2, p. 168. 3. Libman, E.: The Importance of Blood Examination in the Recognition of Thrombosis of the Coronary Arteries and Its Sequelae , Am. Heart J. 1:121 ( (Oct.) ) 1925.Crossref 4. Beith: A Case of Septal Rupture , Tr. Path. Soc. London 3:69, 1850. 5. Peacock: A Case of Rupture of the Septum , Tr. Path. Soc. London 5:102, 1854. 6. Pergami, E.: Ulcera perforante del setto del cuore: morte subitanea , Ann. univ. di med. e chir. 237:42, 1876. 7. Grosse, B. J.: Ein Fall von Ruptur der Herzkammerscheidewand mit retrograder Emboli in der Leber, Inaug. Dissert., Rostock, C. Bolat, 1906 8. Youmans, J. B.: Perforation of the Interventricular Septum of the Heart, with Report of a Case , Arch. Int. Med. 28:495 ( (Oct.) ) 1921.Crossref 9. Brunn, F.: Zur Diagnostik der erworbenen Ruptur der Kammerscheidewand des Herzens , Wien. Arch. f. inn. Med. 6:533 ( (Oct.) ) 1923. 10. Martin, C. F., and Waugh, T. R.: Rupture of the Septum Ventriculorum , Ann. Clin. Med. 4:183 ( (Sept.) ) 1925. 11. Hyman, A. S.: Spontaneous Rupture of the Heart; Perforation of the Interventricular Septum , Ann. Int. Med. 3:800 ( (Feb.) ) 1930.Crossref 12. Freeman, W., and Griffin, E. D.: Cardiac Rupture with Perforation of the Interventricular Septum , Am. Heart J. 7:732 ( (Aug.) ) 1932.Crossref 13. Rintelen, F.: Zur Kenntnis des myomalazischen Septumdefektes und zur Spontanruptur des Herzens , Ztschr. f. Kreislaufforsch. 24:375 ( (June 15) ) 1932. 14. Buccianti, E., and Supino, L.: Considerazione cliniche e anatomo-pathologiche sull'infarto del miocardio , Clin. med. ital. 63:1085, 1932. 15. Benson, R. L.; Hunter, W. C., and Manlove, C. H.: Spontaneous Rupture of the Heart , Am. J. Path. 9:295 ( (May) ) 1933. 16. Faulkner, J. M.; Marble, H. C., and White, P. D.: The Differential Diagnosis of Coronary Occlusion and of Cholelithiasis , J. A. M. A. 83:2080 ( (Dec. 27) ) 1924.Crossref 17. Gross, L.: The Blood Supply of the Heart in Its Anatomical and Clinical Aspects , New York, Paul B. Hoeber, Inc., 1921, p. 85. 18. Voigt, W.: Spontanruptur eines Papillarmuskels, zugleich ein Beitrag zur Gestalt des linken hinteren Papillarmuskels , Ztschr. f. Kreislaufforsch. 24:667 ( (Nov. 1) ) 1932. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

CORONARY THROMBOSIS: PERFORATION OF THE INFARCTED INTERVENTRICULAR SEPTUM

Archives of Internal Medicine , Volume 53 (1) – Jan 1, 1934

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Publisher
American Medical Association
Copyright
Copyright © 1934 American Medical Association. All Rights Reserved.
ISSN
0730-188X
DOI
10.1001/archinte.1934.00160070145012
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Abstract

Abstract Acquired perforation of the infarcted interventricular septum is a rare condition which is infrequently diagnosed. The only reported case in which an antemortem diagnosis was established is that of Brunn in 1923. The purpose of this report is to present another case of this complication of coronary thrombosis and to review the subject completely. I shall also attempt to present the criteria which make this condition, rare as it is, one that is clinically easily recognizable. Krumbhaar and Crowell,1 in 1925, gathered from the literature 654 cases of nontraumatic rupture of the heart, almost all secondary to coronary occlusion. At present the total is well over 700. From these figures it is evident that rupture of the heart is not rare. However, there are recorded only 17 cases of perforation of the infarcted interventricular septum, or nearly 3 per cent of all reported nontraumatic ruptures of the heart. With the References 1. Krumbhaar, E. B., and Crowell, C.: Spontaneous Rupture of the Heart , Am. J. M. Sc. 170:828 ( (Dec.) ) 1925.Crossref 2. Latham, P. M.: Lectures on Subjects Connected with Clinical Medicine Comprising Diseases of the Heart , London, Longmans, Brown, Green and Longmans, 1845, vol. 2, p. 168. 3. Libman, E.: The Importance of Blood Examination in the Recognition of Thrombosis of the Coronary Arteries and Its Sequelae , Am. Heart J. 1:121 ( (Oct.) ) 1925.Crossref 4. Beith: A Case of Septal Rupture , Tr. Path. Soc. London 3:69, 1850. 5. Peacock: A Case of Rupture of the Septum , Tr. Path. Soc. London 5:102, 1854. 6. Pergami, E.: Ulcera perforante del setto del cuore: morte subitanea , Ann. univ. di med. e chir. 237:42, 1876. 7. Grosse, B. J.: Ein Fall von Ruptur der Herzkammerscheidewand mit retrograder Emboli in der Leber, Inaug. Dissert., Rostock, C. Bolat, 1906 8. Youmans, J. B.: Perforation of the Interventricular Septum of the Heart, with Report of a Case , Arch. Int. Med. 28:495 ( (Oct.) ) 1921.Crossref 9. Brunn, F.: Zur Diagnostik der erworbenen Ruptur der Kammerscheidewand des Herzens , Wien. Arch. f. inn. Med. 6:533 ( (Oct.) ) 1923. 10. Martin, C. F., and Waugh, T. R.: Rupture of the Septum Ventriculorum , Ann. Clin. Med. 4:183 ( (Sept.) ) 1925. 11. Hyman, A. S.: Spontaneous Rupture of the Heart; Perforation of the Interventricular Septum , Ann. Int. Med. 3:800 ( (Feb.) ) 1930.Crossref 12. Freeman, W., and Griffin, E. D.: Cardiac Rupture with Perforation of the Interventricular Septum , Am. Heart J. 7:732 ( (Aug.) ) 1932.Crossref 13. Rintelen, F.: Zur Kenntnis des myomalazischen Septumdefektes und zur Spontanruptur des Herzens , Ztschr. f. Kreislaufforsch. 24:375 ( (June 15) ) 1932. 14. Buccianti, E., and Supino, L.: Considerazione cliniche e anatomo-pathologiche sull'infarto del miocardio , Clin. med. ital. 63:1085, 1932. 15. Benson, R. L.; Hunter, W. C., and Manlove, C. H.: Spontaneous Rupture of the Heart , Am. J. Path. 9:295 ( (May) ) 1933. 16. Faulkner, J. M.; Marble, H. C., and White, P. D.: The Differential Diagnosis of Coronary Occlusion and of Cholelithiasis , J. A. M. A. 83:2080 ( (Dec. 27) ) 1924.Crossref 17. Gross, L.: The Blood Supply of the Heart in Its Anatomical and Clinical Aspects , New York, Paul B. Hoeber, Inc., 1921, p. 85. 18. Voigt, W.: Spontanruptur eines Papillarmuskels, zugleich ein Beitrag zur Gestalt des linken hinteren Papillarmuskels , Ztschr. f. Kreislaufforsch. 24:667 ( (Nov. 1) ) 1932.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Jan 1, 1934

References