Surgical repair of post-infarction ventricular septal defect: 19 years of experience.

Abstract:

OBJECTIVES:To review our experience of surgical repair of post-infarction ventricular septal defect (VSD). METHODS:In the period 1983-2002, 50 patients underwent repair of VSD. Mean age was 66 years, male sex 52%. Infarct location was anterior in 60% and posterior in 40% of cases. Median interval between rupture and surgery was 2 days. Preoperative intra-aortic balloon counterpulsation was employed in 56%; a coronary angiogram was performed in 98% of cases. A patch repair technique was used in 90% of cases. Coronary bypass grafting was associated in 50% of patients. RESULTS:Mean aortic clamp time was 101+/-31 min. Global operative mortality was 36%, respectively 26.7% in anterior and 50% in posterior location (p=ns). Emergency operation and interval from rupture to surgery less than 3 days were univariate predictor of early mortality. Five years survival excluding operative deaths was 76%. CONCLUSIONS:The surgical repair of post-infarction VSD entails a high operative mortality; different techniques were employed with similar results. Emergency operation is associated with a worse short-term prognosis; long-term survival is acceptable.

journal_name

Int J Cardiol

authors

Mantovani V,Mariscalco G,Leva C,Blanzola C,Sala A

doi

10.1016/j.ijcard.2005.05.007

subject

Has Abstract

pub_date

2006-04-04 00:00:00

pages

202-6

issue

2

eissn

0167-5273

issn

1874-1754

pii

S0167-5273(05)00715-1

journal_volume

108

pub_type

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