Beating-heart approach and moderately delayed surgical management of postinfarction ventricular septal rupture: an advisable approach to improve results?
Early repair of postinfarction ventricular septal rupture is usually associated with significant mortality and morbidity. Assessing conditions to moderately delay the surgical intervention and reduce cardioplegic arrest may be an interesting approach to improve hospital results. Results of five non-selected patients in whom surgery was moderately delayed and performed according a policy of reducing the cardioplegic-induced ischemia were reviewed. Surgical options are discussed as well as observed advantages.
Grandmougin
Daniel
D
Department of Cardiovascular Surgery, Hôpital Nord, Saint-Etienne, France. d.grandmougin@tiscali.fr
Fayad
Georges
G
Delolme
Maria-Christina
MC
Metton
Olivier
O
Vola
Marco
M
Azzaoui
Richard
R
Barral
Xavier
X
Warembourg
Henri
H