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.
Department of Cardiothoracic Surgery, Lady Davis Carmel Hospital, Haifa, Israel.
Y
Y
Caspi
G
G
Merin
T
T
Safadi
R
R
Amar
A
A
Elami
N H
NH
Fishman
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