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1 Department of Internal Medicine, Shaare Zedek Hospital, Jerusalem, Israel
2 Cardiac Catheterization Laboratory, Hadassah University Hospital, Jerusalem
3 Department of Thoracic Surgery, Hadassah University Hospital, jerusalem
We report a 71-year-old woman who underwent successful repair of a perforation of the interventricular septum while in shock and pulmonary edema, nine days following acute myocardial infarction. This case illustrates that a bold surgical approach during the acute phase of myocardial infarction, even in the elderly patient in severe pump failure, is the treatment of choice in this condition.
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