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if frank papillary muscle rupture is present Trim the left ventricular margins back to viable muscle Conservatively trim the right ventricular muscle Close the VSR without tension, using prosthetic material Buttress the suture line with Teflon pledgets Percutaneous techniques have been used successfully to close some congenital VSDs. Technical improvements in experimental devices for closing intracardiac shunts are being made to treat postinfarction VSR or residual shunts after primary repair (...) Surg . 1986 Jun. 41(6):683-91. . Daggett WM, Buckley MJ, Akins CW, et al. Improved results of surgical management of postinfarction ventricular septal rupture. Ann Surg . 1982 Sep. 196(3):269-77. . Muehrcke DD, Daggett WM. Current surgical approach to acute ventricular septal rupture. Adv Card Surg . 1995. 6:69-90. . Serpytis P, Karvelyte N, Serpytis R, Kalinauskas G, Rucinskas K, Samalavicius R, et al. Post-infarction ventricular septal defect: risk factors and early outcomes. Hellenic J Cardiol
edema) Corresponding signs may develop, including peripheral edema and ascites. Edema may obscure signs of muscle wasting and cause parallel white lines in fingernail beds (Muehrckelines). Other symptoms and signs are attributable to the many complications of nephrotic syndrome (see Table: ). Diagnosis Urine random (spot) protein/creatinine ratio ≥ 3 or proteinuria ≥ 3 g/24 h Serologic testing and renal biopsy unless the cause is clinically obvious Diagnosis is suspected in patients with edema
Case report showed Muehrcke's nails, not Beau's lines 12521984 2003 01 24 2018 11 13 1756-1833 326 7380 2003 Jan 11 BMJ (Clinical research ed.) BMJ Case report showed Muehrcke's nails, not Beau's lines. 105 Möhrenschlager Matthias M Abeck Dietrich D Ring Johannes J eng Letter England BMJ 8900488 0959-8138 AIM IM Antineoplastic Combined Chemotherapy Protocols therapeutic use Diagnosis, Differential Female Humans Lymphoma, Non-Hodgkin drug therapy Nail Diseases chemically induced diagnosis 2003 1