April 1, 1989The Thoracic and Cardiovascular Surgeon
Postinfarction Ventricular Septal Defect - Surgical Strategies and Results
Why the study?
What are the surgical outcomes and mortality rates for patients undergoing repair of postinfarction ventricular septal defect?
Population
20 consecutive patients with postinfarction ventricular septal defect, mean age 67 +/- 9 years, 12 males and…
Design
Case_series
Follow-up
Mean 1.7 +/- 1.0 years for surviving patients
Authors
Discussion
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Member takes
Implication
High postinfarction VSD repair mortality, especially with preoperative IABP, warrants caution in high-risk cases; leaves open optimal timing and selection pending larger studies.
Structured PICO
What are the surgical outcomes and mortality rates for patients undergoing repair of postinfarction ventricular septal defect?
P
Population
20 consecutive patients with postinfarction ventricular septal defect (VSD), mean age 67 +/- 9 years, 12 males and 8 females. Includes 9 acute patients with cardiogenic shock and 8 acute patients with relatively stable hemodynamics.
I
Intervention
Surgical repair including VSD patch closure (20/20), with concomitant procedures such as infarct resection (10/20) and aorto-coronary bypass (10/20).
O
Outcome
Perioperative 30 days mortalityhard clinical
Surgical repair of postinfarction VSD has a 25% 30-day mortality, with significantly worse outcomes in patients presenting with cardiogenic shock requiring preoperative IABP.
Cite This Study
Segesser et al. (1989) studied this question.