[Ventricular septal defect following myocardial infarct].
Surgery was performed for postinfarction ventricular septal defect (VSD) in 25 consecutive patients (14 men, 11 women; mean age 68 +/- 8 years). 9 patients were preoperatively in cardiogenic shock and required mechanical circulatory support by intra-aortic balloon pump (IABP) before surgery, whereas 11 acute patients underwent surgery without use of the IABP beforehand. The following procedures were performed: VSD patch closure in 25/25 patients, resection of infarct in 15/25, and patch enlargement of the left ventricle in 3/25. The overall 30-day mortality was 6/25 (24%). However, mortality was higher (4/9 [44%]) in the group with IABP support versus the group of acute patients without it (2/11 [18%]: p less than 0.05). In patients with significant postinfarction VSD, surgical closure appears to be mandatory.
von Segesser
L
L
Klinik für Herzgefässchirurgie und Medizinische Poliklinik, Universitätsspital Zürich.
Bauer
E
E
Laske
A
A
Jenni
R
R
Turina
M
M
D000368:Aged; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality; D011300:Preoperative Care
Der Ventrikelseptumdefekt nach Myokardinfarkt.