[Long-term course of @entity9009 operated on during the acute phase of a XXXX ].

@entity1 @entity9009 @entity943 @entity1188 @entity439 @entity3980 @entity583 @entity340 @entity1455
Between 1970 and 1979, 28 @entity1 (18 @entity1 and 10 @entity1 , aged 46 to 76 years, average 62 years) with @entity583 complicated by @entity9009 survived surgery performed during the acute phase. In the same period 62 @entity1 were admitted to the Cardiology Department and were operated early for @entity9009 complicating @entity583 . The site of @entity1188 was the anterior wall in 22 cases and the posterior wall in 6 cases; @entity9009 occurred on average after 4.2 days (range 1 to 10 days); 15 @entity1 including 13 with @entity1455 underwent intraaortic balloon pumping for an average of 3:7 (range 1 to 11 days) before surgery; the operation performed after an average interval of 11 days consisted in direct suture of the defect in 3 cases and a patch repair in the other 25 cases, associated in all cases with infarctectomy and @entity3980 coronary bypass grafting in 1 case. The immediate postoperative course was simple; three @entity1 with residual shunts were not reoperated. Five to 14 years later, in 1984, 4 @entity1 had been lost to follow-up; 4 @entity1 had died, 2 of cardiac causes (LVF after 1 year and an @entity943 after 4 years). Of the 20 survivors, 2 were successfully reoperated (1 coronary bypass after 10 years and 1 false @entity439 after 5 years). Only one @entity1 had recurrent @entity583 . The quality and longevity of long-term survival encourage early surgery. The factors affecting long-term survival are discussed: correction of associated @entity340 , resifual shunts, conservation of left ventricular function and evaluation of the coronary circulation.(ABSTRACT TRUNCATED AT 250 WORDS)
