[Emergency coronary surgery]

The authors report their experience with combined investigation and surgical treatment of patients with threatened myocardial infarction and those with postinfarction rupture of the interventricular septum. Direct reconstruction of coronary arteries was performed in 12 of 17 patients with threatened myocardial infarction (three patients died, two of cardiac complications). In the survivors, anginal signs either disappeared or became less pronounced. The correction of interventricular septum rupture was performed in 8 patients, three of whom died. The remaining five patients showed obvious improvement.