Surgical treatment during the acute stage of postinfarction ventricular septal perforation.

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Surgical Management of Postinfarction Ventricular Septal Defect

Accessible online at: www.karger.com/journals/hed In this issue of Heart Drug, Prêtre and Turina [1] present a retrospective study of 54 patients operated on for postinfarction ventricular septal defect (VSD) during the period 1979–1998. The treatment protocol applied was based on the principles of early closure, concomitant myocardial revascularization and ventricular remodeling. In the late 1...

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Surgical management of recurrent postinfarction ventricular septal defect.

A 57 year old man presented with postinfarction ventricular septal infarct (VSD) a week after myocardial infarction and thrombolytic therapy. Coronary angiography confirmed double vessel disease. He underwent surgical repair of the VSD and coronary artery bypass grafting. Two days postoperatively, he deteriorated due to recurrence of VSD. Reoperation was carried out with satisfactory results. T...

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Transcatheter Closure of a Large Postinfarction Ventricular Septal Defect Complicated With Perforation of Ventricular Aneurysm

Ventricular septal defect concurrent with left ventricular aneurysm is unusual in postinfarction patients. The complex anatomy is challenging for occluder deployment in transcatheter closure and associated with high risk of aneurysm perforation. We present a case of transcatheter closure of a large postinfarction ventricular septal defect with an Amplatzer septal occluder in a 71-year-old woman...

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Long-term results after surgical treatment of postinfarction ventricular septal rupture.

OBJECTIVES Postinfarction ventricular septal rupture is a serious complication associated with high hospital mortality rates. The present study aimed to identify predictors of early and late outcome in patients with postinfarction ventricular septal defect over a period of 30 years. METHODS We retrospectively analysed clinical and operative data, predictors of early mortality and long-term su...

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Delayed closure of postinfarction ventricular septal rupture.

We present the case of a patient with postinfarction ventricular septal rupture (VSR) who underwent delayed repair using a modified infarction exclusion technique. The patient was taken to the operating room 21 days after the first incidence of acute myocardial infarction because the intra-aortic balloon pump maintained a stable circulatory condition without cardiogenic shock. In our procedure,...

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ژورنال

عنوان ژورنال: Japanese Journal of Cardiovascular Surgery

سال: 1990

ISSN: 1883-4108,0285-1474

DOI: 10.4326/jjcvs.19.922