| Long-term results of emergency surgery for postinfarction ventricular septal defect. | |
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MedLine Citation:
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PMID: 3632114 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This study assesses the long-term results of emergency surgical repair of postinfarction ventricular septal defect (VSD). The cases of 28 patients surviving early operative closure of septal rupture (within 1 day to 20 days of the infarction) were reviewed. Only 1 had concomitant coronary artery bypass grafting. Follow-up ranged from 7 to 16 years with an average of 9 years. Four patients were lost to follow-up. There were 4 late deaths, 2 of which were of cardiac origin. One was due to congestive heart failure and 1 to arrhythmia, 1 and 6 years after operation, respectively. Of the remaining 20 patients, 8 are in New York Heart Association Functional Class I and 12 are in Class II. Two patients underwent reoperation, 1 for a left ventricular false aneurysm 5 years postoperatively and the other for unstable angina 10 years postoperatively. Both had an uneventful postoperative course. Only 2 patients had late coronary events (1, nonfatal myocardial infarction; 1, unstable angina). We conclude that aggressive management of postinfarction VSD is fully justified in view of the long-term survival and functional palliation that can be anticipated for operative survivors. We advocate that preoperative coronary artery angiography and subsequent bypass grafting be performed on a selective rather than routine basis. |
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Authors:
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A Piwnica; P Menasché; P Beaufils; J M Julliard |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 44 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 1987 Sep |
Date Detail:
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Created Date: 1987-10-05 Completed Date: 1987-10-05 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 274-6 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Emergencies Female Follow-Up Studies Heart Rupture / surgery* Heart Rupture, Post-Infarction / mortality, surgery* Humans Male Middle Aged Reoperation Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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