Document Detail


Long-term results after surgical treatment of postinfarction ventricular septal rupture.
MedLine Citation:
PMID:  24994755     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: Postinfarction ventricular septal rupture is a serious complication associated with high hospital mortality rates. The present study aimed to identify predictors of early and late outcome in patients with postinfarction ventricular septal defect over a period of 30 years.
METHODS: We retrospectively analysed clinical and operative data, predictors of early mortality and long-term survival in a series of 52 consecutive patients (male, n = 26; mean age, 67 ± 10 years) with postinfarction ventricular septal rupture that was surgically repaired at our institution between September 1982 and December 2012. The overall logistic EuroSCORE was 41 ± 24% and the follow-up rate was 100%.
RESULTS: The 30-day mortality rate was 36% (n = 19), and these 19 survivors were followed up for a mean of 7.8 ± 7.7 (median, 6.0) years. The actuarial survival rates of these 19 patients at 1, 5 and 10 years were 91, 75 and 31%, respectively. Univariate predictors of 30-day mortality comprised renal insufficiency, shock at surgery, emergency surgery, logistic EuroSCORE, three-vessel disease, significant left circumflex coronary arterial stenosis, significant right coronary arterial stenosis, incomplete revascularization, surgical duration and cardiopulmonary bypass time and multivariate analysis selected only incomplete coronary revascularization as an independent risk factor of 30-day mortality.
CONCLUSIONS: Early mortality rates after surgical repair of postinfarction septal rupture remained poor in this series. Most patients who survived for <30 days had a preoperative shock status. Preoperative improvement in shock status and aggressive coronary revascularization are mandatory for patients with ventricular septal rupture.
Authors:
Hiroaki Takahashi; Rawa Arif; Ali Almashhoor; Arjang Ruhparwar; Matthias Karck; Klaus Kallenbach
Related Documents :
15776845 - View from north america's cardiac surgeons.
17670385 - Left atrial dissection following mass removal from right ventricle: non-surgical therapy.
21503625 - Disassociation between left ventricular mechanical and electrical properties in ischemi...
23336965 - Ruptured left ventricular pseudoaneurysm in the mediastinum following acute myocardial ...
8830875 - Successful tricuspid valve replacement and pulmonary valvulotomy for carcinoid heart di...
9777025 - Cardiac accumulation of citrate during brief myocardial ischaemia and reperfusion in th...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-7-3
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  -     ISSN:  1873-734X     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  2014 Jul 
Date Detail:
Created Date:  2014-7-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  High-emergency waiting list for lung transplantation: early results of a nation-based study†
Next Document:  Long-term mortality in minimally invasive compared with sternotomy coronary artery bypass surgery in...