Surgical treatment of post-infarction ventricular septal defect without concomitant myocardial revascularization.
Twenty one patients suffering from rupture of the ventricular septum (RVS) following acute myocardial infarction were operated upon between 1982-1985. Eighteen patients were operated upon urgently within 9.3 +/- 2.1 hours following diagnosis of RVS. In all, RVS occurred during the first infarction. None had concomitant myocardial revascularization. There were twelve operative survivors for an operative mortality of 42.5%. Two patients died 6 and 9 months postoperatively. All survivors are in functional class I, during a follow-up period of 14 to 56 months. The need for urgent repair of RVS is stressed and the value of concomitant coronary artery bypass is discussed.
Caspi
Y
Y
Department of Cardiothoracic Surgery, Lady Davis Carmel Hospital, Haifa, Israel.
Merin
G
G
Safadi
T
T
Amar
R
R
Elami
A
A
Fishman
N H
NH
D000368:Aged; D004630:Emergencies; D005260:Female; D005500:Follow-Up Studies; D006341:Heart Rupture / Q000601:surgery*; D006342:Heart Rupture, Post-Infarction / Q000401:mortality / Q000601:surgery*; D006801:Humans; D008297:Male; D009204:Myocardial Revascularization; D013997:Time Factors