Document Detail

Postinfarction ventricular septal defect: patch repair with infarct exclusion.
MedLine Citation:
PMID:  18515671     Owner:  NLM     Status:  MEDLINE    
Postinfarction rupture of the interventricular septum is usually fatal without prompt surgical intervention. Repair of postinfarction ventricular septal rupture by an endocardial patch technique with infarct exclusion is associated with less morbidity and mortality. The results of this repair in 22 consecutive patients were analyzed retrospectively. After myocardial infarction, 16 patients were operated on within 7 days, 3 at 8-21 days, and 3 at 3-6 weeks. 2D-echocardiography, color Doppler studies and coronary angiography were performed in all patients prior to surgery. The mean age of the patients was 57.46 +/- 5.31 years and 20 were male; 15 were in cardiogenic shock or congestive heart failure at the time of operation. There were 5 (22.7%) operative deaths. Postoperative complications included low cardiac output, renal failure and respiratory failure. Preoperative cardiogenic shock, severe right ventricular dysfunction, residual ventricular septal defect, and preoperative renal failure were predictors of operative mortality. There were 2 late deaths. A rapid diagnosis, aggressive medical management and prompt surgical intervention are required to optimize survival and recovery in patients who present with septal rupture complicating myocardial infarction.
Lokeswara R Sajja; Gopi C Mannam; Rama S Gutti; Nagasaina R Goli; Sriramulu Sompalli; Raghava R Penumatsa
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Asian cardiovascular & thoracic annals     Volume:  16     ISSN:  1816-5370     ISO Abbreviation:  Asian Cardiovasc Thorac Ann     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-02     Completed Date:  2008-10-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9503417     Medline TA:  Asian Cardiovasc Thorac Ann     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  215-20     Citation Subset:  IM    
Division of Cardiothoracic Surgery, CARE Hospital The Institute of Medical Sciences, Hyderabad, India.
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MeSH Terms
Cohort Studies
Endocardium / surgery*
Middle Aged
Pericardium / surgery*
Retrospective Studies
Survival Rate
Suture Techniques
Treatment Outcome
Ventricular Septal Rupture / diagnosis,  mortality,  surgery*
Reg. No./Substance:

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