Læknablaðið - 01.04.1979, Blaðsíða 78

102
LÆKNABLAÐIÐ
sustáined a myocardial infarction and a rupture
of the interventricular septum during or
short time after a cholecystectomy. Cardiac
catheterisation and coronary arteriography one
month later revealed a small shunt (1.4:1) and
minimal narrowing of the right and 80%
narrowing of the circumflex coronary artery
without any occlusion. The patient has since
been treated medically, and is asymptomatic at
present time, three years after the myocardial
infarction. Only one case of rupture of the
interventricular septum after a myocardial in-
farction with patent coronary arteries has so
far been reported in the English and Scandi-
navian litterature.
Clinical features, diagnosis, prognosis and
treatment of this serious complication of myo-
cardial infarction is discussed.
HEIMILDIR
1. Arnett, E.N. and Roberts, W.C.:: Acute
myocardial infarction and angiographically
normal coronary arteries. An unproven
combination. Circulation, 53:395, 1976.
2. Chandraratna, P.A.N., Balachandran, P.K.,
Shah, P.M., Hodges, M.: Echocardiographic
observations on ventricular septal rupture
complicating acute myocardial infarction.
Circulation, 51:506, 1975.
3. Edmondson, H.A., Hoxie, H.J.: Hypertension
and cardiac rupture. A clinical and patho-
logic study of seventy-two cases, in thirteen
of which rupture of the interventricular
septum occurred. Amer. Heart J., 24:719,
1942.
4. Heikkilá, J., Karesoja, M., Luomanmáki, K.:
Ruptured interventricular septum compli-
cating acute myocardial infarction. Chest,
66:675, 1974,
World Psychiatric Association
PRESS RELASE
As has been stated in previous press-relases
(April/July 1978), the General Assembly of
the World Psychiatric Association decided to
establish a „Committee to Review the Abuse of
Psychiatry". In order to bridge the time-gap
between the decision to establish such a Com-
mittee and its definitive formalization, it was
determined at a WPA Executive committee.
Meeting in New Delhi, India, in January
1978, to create two Working Groups; the „Legal
Sub-Committee“ and the „Ad hoc Sub-Com-
mittee of psychiatrists“, which were to carry
out preliminary investigation into the methods
appropriate for the composition, election and
operation of such a body, and to deal with
complaints regarding the political abuse of
psychiatry, pending the creation of the defini-
tive Committee.
5. Jeresaty, R.M., Landry, A.M., Stansel, H.C.:
Postinfarction interventricular septal de-
fects. Report of two cases with long survi-
val, one with surgical repair. Amer. Heart
J„ 74:543, 1967.
6. Khan, A.H. and Haywood, L.J.: Myocardial
infarction in nine patients with radiologi-
cally patent coronary arteries. N. Eng. J.
Med., 291:427, 1974.
7. Kitamura, S„ Mendez, A„ Kay, J.H.: Ventri-
cular septal defect following myocardial in-
farction. Experience with surgical repair
through a left ventriculotomy and review
of litterature. J. Thorac. Cardiovasc. Surg.,
61:186, 1971.
8. Latham, P.M.: Cited by Sager, R.V.: Coro-
nary thrombosis. Perforation of the infarc-
ted interventricular septum. Arch. Intern.
Med. 53:140, 1934.
9. Lee, W.Y., Cardon, L„ Slodki, S.J.: Per-
foration of infarcted interventrieular sep-
tum. Report of a case with prolonged survi-
val, dignosed ante mortem by cardiac cat-
heterisation, and a review of the literature.
Arch. Intern. Med„ 109:731, 1962.
10. Najafi, H„ Serry, C„ Dye, W.S., Javid, H„
Hunter, J.A., Goldin, M„ Julian, O.C.: Surgi-
cal management of complications of myo-
cardial infarction. Med. Clin. North Amer.,
57:205, 1973.
11. Thorball, N„ Christiansen, I., Steinmetz, E„
Wennevold, A.: Ventricular septal rupture
in acute myocardial infarction. Danish Med.
Bull., 22:296, 1975.
Greinarhöfundur þakkar W.P. Clehmd, F.R.
C.S., Brompton Hospital, London, fyrir ómetan-
lega aÖstoS við rannsóknir og ráöleggingar um
meöferð í þessu tilfelli.
At the last Executive Committee Meeting,
which took plaee in the beginning of December
1978v on the occasion of a WPA Regional Sym-
posium in Cairo, Egypt, the interim Working
Groups were dissolved and the „Committee to
Review the Abuse of Psychiatry" was forma-
lized under the Chairmanship of Prof. J.Y.
GOSSELIN (Canada). It has been empowered
to take up its function and to consider all notes
of complaints regarding the political abuse of
psychiatry. These complaints must be submitted
by a Mernber Society and will be addressed in
any of the four official languages of the As-
sociation (English, French, Spanish and
German), to the President of the World Psy-
chiatric Association, through the Secretary
General’s Office.
Peter Berner, Secretary General
Psych. Universitátsklinik
Wáhringer Gurtel 74—76
A-1090 Wien, Austria.