| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Journal of Thoracic and Cardiovascular Surgery, Vol 99, 798-808, Copyright © 1990 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
PD Skillington, RH Davies, AJ Luff, JD Williams, KD Dawkins, N Conway, RK Lamb, DF Shore, JL Monro and JK Ross
A total of 101 patients (mean age 64.9 years) underwent surgical correction
of postinfarction ventricular septal defect at this institution over a
15-year period (1973 to 1988). The overall early mortality rate was 20.8%,
although the most recent experience with 36 patients (January 1987 to
October 1988) has seen this decline to 11.1%. Factors found to influence
early death significantly, when analyzed univariately, were as follows: (1)
site of infarction (anterior 12.1%, inferior 32.6%, p = 0.02); (2) time
interval between infarction and operation (less than 1 week 34.1%, greater
than 1 week 10.5%, p = 0.008); (3) cardiogenic shock (present 38.1%, absent
8.5%, p = 0.001). Nonsignificant variables included preoperative renal
function, age, and concomitant coronary artery bypass, although older age
(greater than 65 years) became significant when examined in a multivariate
fashion. Of the 80 hospital survivors, eight were subsequently found to
have a recurrent or residual defect necessitating reoperation, with
survival in seven. Late follow-up is 99% complete and reveals an actuarial
survival rate for 100 patients of 71.1% at 5 years (95% confidence interval
60.6 to 80.0), and 40.0% at 10 years (95% confidence interval 21.7 to
58.4). A significant recent change in policy of not using coronary
angiography in patients with a ventricular septal defect caused by anterior
wall infarction has not resulted in any increase in either the early
mortality or in the late prevalence of angina. The functional status of 38
surviving patients has been analyzed by a graded treadmill exercise
protocol, whereas left ventricular functional assessment was by nuclear
scan with additional information on mitral valve function by
echocardiogram. Color Doppler flow mapping has been used to determine the
presence of a residual defect. Most late survivors have limited exercise
tolerance related to both cardiac and noncardiac factors. Left ventricular
function is moderately impaired (mean ejection fraction = 0.39). However,
many patients are elderly and have adapted to their residual symptoms
without significant changes in life-style.
ARTICLES
Surgical treatment for infarct-related ventricular septal defects. Improved early results combined with analysis of late functional status
Wessex Cardiothoracic Centre, Southampton General Hospital, England.
This article has been cited by other articles:
|
|
 |
|
  L. R Sajja, G. C Mannam, R. S Gutti, N. R Goli, S. Sompalli, and R. R Penumatsa Postinfarction Ventricular Septal Defect: Patch Repair with Infarct Exclusion Asian Cardiovasc Thorac Ann, June 1, 2008; 16(3): 215 - 220. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. K. Agnihotri, J. C. Madsen, and W. M. Daggett Jr Surgical Treatment of Complications of Acute Myocardial Infarction: Postinfarction Ventricular Septal Defect and Free Wall Rupture Card. Surg. Adult, January 1, 2008; 3(2008): 753 - 784. [Full Text]
|
|
|
|
 |
|
 L. R. Gerola, H. C. Kim, A. P. Filho, W. Araujo, P. C. Santos, and E. Buffolo A new surgical technique for ventricular septal rupture closure after myocardial infarction. J. Thorac. Cardiovasc. Surg., October 1, 2007; 134(4): 1073 - 1076. [Full Text] [PDF]
|
|
|
|
 |
|
 N. R. Shah, J. A. Goldstein, D. T. Balzer, J. M. Lasala, and N. Moazami Transcatheter Repair of Recurrent Postinfarct Ventricular Septal Defects Ann. Thorac. Surg., November 1, 2005; 80(5): 1907 - 1909. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Tabuchi, H. Tanaka, H. Arai, T. Mizuno, H. Nakahara, N. Oshima, M. Toyama, and M. Sunamori Double-patch technique for postinfarction ventricular septal perforation Ann. Thorac. Surg., January 1, 2004; 77(1): 342 - 343. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T.A. Barker, I.R. Ramnarine, E.B. Woo, A.D. Grayson, J. Au, B.M. Fabri, B. Bridgewater, and G.J. Grotte Repair of post-infarct ventricular septal defect with or without coronary artery bypass grafting in the northwest of England: a 5-year multi-institutional experience Eur. J. Cardiothorac. Surg., December 1, 2003; 24(6): 940 - 946. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Nakajima, K. Tsuchiya, H. Inoue, Y. Naito, and E. Mizutani Modified Daggett's technique for early repair of postinfarct posterior ventricular septal rupture Ann. Thorac. Surg., January 1, 2003; 75(1): 301 - 302. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. K. Agnihotri, J. C. Madsen, and W. M. Daggett Jr. Surgical Treatment of Complications of Acute Myocardial Infarction: Postinfarction Ventricular Septal Defect and Free Wall Rupture Card. Surg. Adult, January 1, 2003; 2(2003): 681 - 714. [Full Text]
|
|
|
|
|
|
L. Labrousse, E. Choukroun, J.M. Chevalier, F. Madonna, F. Robertie, F. Merlico, P. Coste, and C. Deville Surgery for post infarction ventricular septal defect (VSD): risk factors for hospital death and long term results Eur. J. Cardiothorac. Surg., April 1, 2002; 21(4): 725 - 732. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Blanche, D. A. Blanche, T. A. Denton, S. S. Khan, A. Kamlot, and A. Trento Postinfarction ventricular septal defect in the elderly: analysis and results Ann. Thorac. Surg., October 1, 2000; 70(4): 1444 - 1445. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 V. Menon, J. G. Webb, L. D. Hillis, L. A. Sleeper, R. Abboud, V. Dzavik, J. N. Slater, R. Forman, E. S. Monrad, J. D. Talley, et al. Outcome and profile of ventricular septal rupture with cardiogenic shock after myocardial infarction: a report from the SHOCK Trial Registry J. Am. Coll. Cardiol., September 1, 2000; 36(3_Suppl_A): 1110 - 1116. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. A. Deja, J. Szostek, K. Widenka, B. Szafron, T. J. Spyt, M. St.J. Hickey, and A. W. Sosnowski Post infarction ventricular septal defect - can we do better? Eur. J. Cardiothorac. Surg., August 1, 2000; 18(2): 194 - 201. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Pretre, Q. Ye, J. Grunenfelder, G. Zund, and M. I. Turina Role of myocardial revascularization in postinfarction ventricular septal rupture Ann. Thorac. Surg., January 1, 2000; 69(1): 51 - 55. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Pretre, N. Stalder, Q. Ye, J. Grunenfelder, R. Jenni, and M. I. Turina Surgical repair of postinfarction structural failure of the posterobasal part of the heart Ann. Thorac. Surg., December 1, 1999; 68(6): 2152 - 2157. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Z. Amin, X. Gu, J. M. Berry, J. L. Bass, J. L. Titus, M. Urness, Y.-M. Han, and K. Amplatz New Device for Closure of Muscular Ventricular Septal Defects in a Canine Model Circulation, July 20, 1999; 100(3): 320 - 328. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. D. de Boer and W. J. de Boer Early Repair of Postinfarction Ventricular Septal Rupture: Infarct Exclusion, Septal Stabilization, and Left Ventricular Remodeling Ann. Thorac. Surg., March 1, 1998; 65(3): 853 - 854. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M.J.R. Dalrymple-Hay, S.M. Langley, S.A. Sami, M. Haw, S.M. Allen, S.A. Livesey, R.K. Lamb, and J.L. Monro Should coronary artery bypass grafting be performed at the same time as repair of a post-infarct ventricular septal defect? Eur. J. Cardiothorac. Surg., March 1, 1998; 13(3): 286 - 292. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. A. Killen, J. M. Piehler, A. M. Borkon, M. E. Gorton, and W. A. Reed Early Repair of Postinfarction Ventricular Septal Rupture Ann. Thorac. Surg., January 1, 1997; 63(1): 138 - 142. [Abstract] [Full Text]
|
|
|
|
|
|
B. B. K. Chan, S. P. Nolan, and I. L. Kron Transatrial Approach to Posterior Postinfarct Ventricular Septal Defects Ann. Thorac. Surg., September 1, 1996; 62(3): 903 - 904. [Abstract] [Full Text]
|
|
|
|
|
|
F. Musumeci, V. Shukla, C. Mignosa, G. Casali, and S. Ikram Early Repair of Postinfarction Ventricular Septal Defect With Gelatin-Resorcin-Formol Biological Glue Ann. Thorac. Surg., August 1, 1996; 62(2): 486 - 488. [Abstract] [Full Text]
|
|
|
|
|
|
F. F. Cox, W. J. Morshuis, H. W. T. Plokker, J. C. Kelder, H. A. v. Swieten, A. B. d. l. Riviere, P. J. Knaepen, and F. E. E. Vermeulen Early Mortality After Surgical Repair of Postinfarction Ventricular Septal Rupture: Importance of Rupture Location Ann. Thorac. Surg., June 1, 1996; 61(6): 1752 - 1757. [Abstract] [Full Text]
|
|
|
|
|
|
T. Takahashi, K. Kadoba, K. Taniguchi, Y. Sawa, H. Imagawa, T. Masai, and H. Matsuda Repair of Postinfarction Ventricular Septal Defect on a Beating Heart Ann. Thorac. Surg., June 1, 1996; 61(6): 1816 - 1817. [Abstract] [Full Text]
|
|
|
|
|
|
T. E. David, L. Dale, and Z. Sun POSTINFARCTION VENTRICULAR SEPTAL RUPTURE: REPAIR BY ENDOCARDIAL PATCH WITH INFARCT EXCLUSION J. Thorac. Cardiovasc. Surg., November 1, 1995; 110(5): 1315 - 1322. [Abstract] [Full Text]
|
|
|
|
|
|
V. Pathi, R. Kumar, and S. Naik Inferoposterior Ventricular Septal Rupture: Repair With Maintenance of Ventricular Geometry Ann. Thorac. Surg., September 1, 1995; 60(3): 719 - 720. [Abstract] [Full Text]
|
|
|
|
 |
|
 P K Mazeika Grand Rounds - Hammersmith Hospital: Complicated myocardial infarction Ventricular septal rupture is a surgical emergency BMJ, March 5, 1994; 308(6929): 643 - 645. [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
