Surgery for Post-Myocardial Infarct Ventricular Septal Defect
Why the study?
Does surgical repair improve hospital survival in patients with post-myocardial infarct ventricular septal defect?
Population
43 patients (mean age 62 +/- 1 years) with ventricular septal defect (VSD) secondary to myocardial infarction.
Design
Case_series
Follow-up
mean 41 months in survivors
Authors
Discussion
Loading...
Member takes
Implication
Survival after post-MI VSD repair improved after 1973; leaves open optimal timing and applicability to current practice.
Structured PICO
Does surgical repair improve hospital survival in patients with post-myocardial infarct ventricular septal defect?
P
Population
43 patients (mean age 62 +/- 1 years) with ventricular septal defect (VSD) secondary to myocardial infarction.
I
Intervention
Surgical repair of post-myocardial infarct ventricular septal defect, with timing based on hemodynamic stability (within 21 days, 3-6 weeks, or beyond 6 weeks post-infarct).
O
Outcome
Hospital survivalhard clinical
Surgical repair of post-infarct VSD yields better survival when delayed beyond 3 weeks, though recent surgical techniques have reduced mortality even in early operations.
Cite This Study
Daggett et al. (1977) studied this question.