Key result
Surgical repair of post-MI VSD is linked to ~45% 30-day mortality.
Why the study?
Post-infarction ventricular septal defect is a known complication following acute myocardial infarction, prompting investigation into clinical results following surgical repair.
What are the clinical outcomes and predictors of mortality following surgical repair of post-infarction ventricular septal defect?
Population
75 patients undergoing surgical repair of VSD in Oman
Design
Retrospective study
Follow-up
Mean 17.2 (7.5) years
Authors
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High early mortality after post-infarction VSD repair warrants cautious case selection; leaves open optimal timing and adjunctive strategies in prospective studies.
Observational (n=75)
What are the clinical outcomes and predictors of mortality following surgical repair of post-infarction ventricular septal defect?
Surgical repair of post-infarction ventricular septal defect carries a high early mortality rate (45.3% at 30 days), with long-term survival further limited by pre-existing coronary artery disease, postoperative renal failure, and residual shunts.
Al-Bulushi et al. (2023) conducted an observational in Post-infarction ventricular septal defect (n=75). Surgical repair was evaluated on 30-day mortality. Surgical repair of post-infarction ventricular septal defect was associated with a 30-day mortality of 45.3%, and 5-year and 10-year survival rates of 41.3% and 33.3%.
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