| Operative results of "repair" of ventricular septal rupture after acute myocardial infraction. | |
| | |
MedLine Citation:
|
PMID: 10513774 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Fifty-four consecutive patients with postinfarction ventricular septal defect were reviewed. The rupture was closed with a patch and the left ventricle remodeled in all patients. Coronary artery bypass surgery was performed in 28 patients (52%). Fourteen patients (26%) died after operation and 19 during follow-up (mean 42 months). Cumulative survival (including operative deaths) was 78%, 65%, and 40% at 1, 5, and 10 years, respectively. A short interval between septal rupture and operation was a risk factor for early mortality (p = 0.03). Treated associated coronary artery disease had no effect. A residual septal shunt, detected in 10 patients (18%), warranted reoperation in 7 and contributed to 2 early and 1 late death. The location and morphology of the septal rupture were not associated with increased risk of residual shunt. Thus, patch closure of the ventricular septal rupture, remodeling of the left ventricle to improve stroke volume and reduce wall stress, and selective myocardial revascularization provided acceptable results. |
| | |
Authors:
|
R Prêtre; Q Ye; J Grünenfelder; M Lachat; P R Vogt; M I Turina |
Related Documents
:
|
19059734 - Pathological evaluation of coronary lesions in cases of cardiac rupture during acute my... 12000054 - Frequency of left ventricular free-wall rupture in patients with acute myocardial infar... 2931324 - Dx and tx of the elderly patient with atherosclerotic coronary heart disease. 3225064 - Sequential rupture of the left ventricular free wall and of the interventricular septum... 12690924 - A case of cardiac localization of graft-versus-host disease after allogenic bone marrow... 11965214 - Chemoprevention of coronary atherosclerosis: the role of lipid interventions. a positio... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The American journal of cardiology Volume: 84 ISSN: 0002-9149 ISO Abbreviation: Am. J. Cardiol. Publication Date: 1999 Oct |
Date Detail:
|
Created Date: 1999-10-21 Completed Date: 1999-10-21 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0207277 Medline TA: Am J Cardiol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 785-8 Citation Subset: AIM; IM |
Affiliation:
|
Cardiovascular Surgery, University Hospital Zürich, Switzerland. rene.pretre@chi.usz.ch |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Female Follow-Up Studies Heart Rupture, Post-Infarction / mortality, surgery* Heart Septum / surgery* Humans Male Middle Aged Risk Factors Survival Rate Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Effectiveness of early coronary angioplasty and abciximab for failed thrombolysis (reteplase or alte...
Next Document: Baseline clinical and angiographic variables associated with long-term outcome after successful intr...