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 Cardioljournal_title
International journal of cardiologyauthors
Mantovani V,Mariscalco G,Leva C,Blanzola C,Sala Adoi
10.1016/j.ijcard.2005.05.007subject
Has Abstractpub_date
2006-04-04 00:00:00pages
202-6issue
2eissn
0167-5273issn
1874-1754pii
S0167-5273(05)00715-1journal_volume
108pub_type
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pub_type: 临床试验,杂志文章,多中心研究
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pub_type: 杂志文章,meta分析
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pub_type: 临床试验,杂志文章,随机对照试验
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