Timing of repair of ischemic ventricular septal rupture; results of early vs. late repair
نویسندگان
چکیده
Background: The optimal time to repair ischemic ventricular septal rupture (VSR) is debatable. We compared the outcomes, including operative mortality, between patients who underwent early vs. late VSR repair.
 Methods: Twenty-eight presented with were included in this study. Patients grouped according timing of into two groups; group (n= 12) and 16). primary endpoint was mortality.
 Results: There no difference age, gender, associated comorbidities repair. Anteroapical most common type both groups. number bypass grafts Ischemic (95 (88- 142.5) 137 (120- 147.5) min; P= 0.028) cardiopulmonary times (123.5 (115.5- 177.5) 172.5 (152.5- 185) 0.023) significantly shorter had delayed Nine (75%) mortality versus three (18.75%) (P= 0.006). differences blood loss, stroke, wound infection, ICU, ward stay among surviving patients.
 Conclusion: Delayed could be lower properly selected patients. Additionally, decrease times.
منابع مشابه
Rupture recurrence after surgical repair of postinfarction ventricular septal rupture. Influence of early thrombolysis.
OBJECTIVES The aim of this study was to identify factors causing rupture recurrence after surgical repair of postinfarction ventricular septal rupture and to evaluate the indication for reoperation. PATIENTS Recurrence of rupture was analysed in 25 out of a series of 109 patients who underwent surgical repair for postinfarction ventricular septal rupture between 1980 and 1992 in our instituti...
متن کاملTransatrial Repair of Post-infarction Posterior Ventricular Septal Rupture
Ventricular septal rupture (VSR) is a rare but lethal complication of myocardial infarction. The event occurs 2~8 days after an infarction and often precipitates cardiogenic shock. Post myocardial infarction VSR is known for difficult to repair. Especially, Transmural myocardial infarction involved in the posterior VSD area, exposure of the affected site is difficult and postoperative mortality...
متن کاملA modified multi-patch technique for double-layered repair of ischemic posterior ventricular septal rupture
BACKGROUND The rupture of the posterior ventricular septum after acute inferior myocardial infarction is more challenging to repair than ruptures in other sites since it is less accessible and anatomically restricted. We described a modification of Daggett's original technique of multi-patch repair of ruptured posterior septum. CASE PRESENTATION The technique was employed in the operation of ...
متن کاملLate surgical repair of a traumatic ventricular septal defect
Ventricular Septal Defect (VSD) complicates approximately 1-5% of patients presenting with penetrating chest trauma, however not all VSDs are evident at the time of initial presentation to the emergency department. Acute closure of traumatic VSDs is indicated in patients with a large defect and haemodynamic compromise, however closure may be delayed in smaller defects in order to minimise opera...
متن کاملLate repair of ischemic mitral regurgitation does not prevent left ventricular remodeling: importance of timing for beneficial repair.
BACKGROUND Ischemic mitral regurgitation (MR) is a frequent complication of myocardial infarction associated with left ventricular (LV) dilatation and dysfunction, which doubles mortality. At the molecular level, moderate ischemic MR is characterized by a biphasic response, with initial compensatory rise in prohypertrophic and antiapoptotic signals, followed by their exhaustion. We have shown t...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: The Egyptian Cardiothoracic Surgeon (Print)
سال: 2023
ISSN: ['2636-3151', '2636-3291']
DOI: https://doi.org/10.35810/ects.v1i1.265