December 15, 2004European Journal of Cardio-Thoracic Surgery
Surgical repair of post infarction ventricular septal defects: a national experience☆
Why the study?
What are the outcomes and predictors of mortality following surgical repair of post infarction ventricular septal defects?
Population
189 patients undergoing surgical repair of post infarction ventricular septal rupture in Sweden between…
Design
Cohort
Follow-up
mean 2.4 years
Authors
Discussion
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Member takes
Implication
Urgent/posterior post-MI VSR cases warrant heightened risk stratification; observational data leaves optimal timing and techniques open.
Structured PICO
What are the outcomes and predictors of mortality following surgical repair of post infarction ventricular septal defects?
P
Population
189 patients undergoing surgical repair of post infarction ventricular septal rupture in Sweden between 1992-1998, mean age 69+/-8 years, 63% men.
I
Intervention
Surgical repair of post infarction ventricular septal defects
O
Outcome
30-day mortality and long-term survivalhard clinical
Surgical repair of post-infarction ventricular septal rupture carries a high 30-day mortality (41%), which is strongly predicted by the need for urgent repair and posterior rupture location.
Cite This Study
Jeppsson et al. (2004) studied this question.