[Rupture of interventricular septum as consequence of diaphragmatic heart infarct].

Patient, with massive heart attack of the hart's lower wall which happened six months ago, and consequent rupture of the ventricular septum, 1.2 cm of size, next to the left to right shunt, and development of aneurisms at the place of heart attack (4.2 cm x 2.9 cm), is admitted in our Clinic. Weakening signs of the right heart are present with retention of the liquid, edemas and ascites. After a long preoperative preparation graft on CX is being performed, reconstruction of aneurisms of the left verticle, and VSD being reconstructed with Dacron's patch. Postoperative flow is extended with occurrence of profusely diarrhea and existence of a smaller pericardial effusion, but status of the patient is improving, and he is being dismissed home in a satisfactory general condition.