Der Ventrikelseptumdefekt nach Myokardinfarkt. [Ventricular septal defect following myocardial infarct]

Détails

ID Serval
serval:BIB_DF5086458EC5
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Der Ventrikelseptumdefekt nach Myokardinfarkt. [Ventricular septal defect following myocardial infarct]
Périodique
Schweizerische Medizinische Wochenschrift
Auteur⸱e⸱s
von Segesser  L., Bauer  E., Laske  A., Jenni  R., Turina  M.
ISSN
0036-7672
Statut éditorial
Publié
Date de publication
10/1989
Peer-reviewed
Oui
Volume
119
Numéro
41
Pages
1421-3
Notes
English Abstract
Journal Article --- Old month value: Oct 14
Résumé
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.
Mots-clé
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
Création de la notice
14/02/2008 14:17
Dernière modification de la notice
20/08/2019 16:03
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