Der Ventrikelseptumdefekt nach Myokardinfarkt. [Ventricular septal defect following myocardial infarct]
Details
Serval ID
serval:BIB_DF5086458EC5
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Der Ventrikelseptumdefekt nach Myokardinfarkt. [Ventricular septal defect following myocardial infarct]
Journal
Schweizerische Medizinische Wochenschrift
ISSN
0036-7672
Publication state
Published
Issued date
10/1989
Peer-reviewed
Oui
Volume
119
Number
41
Pages
1421-3
Notes
English Abstract
Journal Article --- Old month value: Oct 14
Journal Article --- Old month value: Oct 14
Abstract
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.
Keywords
Aged
Female
Heart Septal Defects, Ventricular/*etiology/surgery
Humans
Intra-Aortic Balloon Pumping
Male
Middle Aged
Myocardial Infarction/*complications
Postoperative Complications/etiology/mortality
Preoperative Care
Pubmed
Web of science
Create date
14/02/2008 15:17
Last modification date
20/08/2019 17:03