Role of myocardial revascularization in postinfarction ventricular septal rupture.

Détails

ID Serval
serval:BIB_0CB2BFF25D07
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Role of myocardial revascularization in postinfarction ventricular septal rupture.
Périodique
Annals of Thoracic Surgery
Auteur(s)
Prêtre R., Ye Q., Grünenfelder J., Zund G., Turina M.I.
ISSN
0003-4975 (Print)
ISSN-L
0003-4975
Statut éditorial
Publié
Date de publication
2000
Peer-reviewed
Oui
Volume
69
Numéro
1
Pages
51-55
Langue
anglais
Résumé
BACKGROUND: Postinfarction ventricular septal rupture requires urgent closure. The role of systematic coronarography and coronary revascularization needs clarification.
METHODS: Fifty-four patients who underwent patch closure of postinfarction ventricular septal defect were reviewed. A coronarography had been systematically and myocardial revascularization selectively (when significant coronary artery stenosis existed) performed.
RESULTS: No patient died or deteriorated during coronarography. Twenty-six patients showed no coronary artery disease besides the infarct-related artery, and 28 had associated disease. Threatened myocardial territories were revascularized usually with venous grafts (mean number of distal anastomosis, 2.5). Operative mortality was 19% and 32% (p = 0.36) and late mortality 43% and 53% (p = 0.75) in patients without and in patients with associated coronary artery disease, respectively. Survival curve in both group was similar, at least up to 8 years after operation.
CONCLUSIONS: Myocardial revascularization controlled the added risk of associated coronary artery disease in the postoperative period and in median term. A coronarography should be performed in all patients who can be stabilized hemodynamically and myocardial revascularization performed in case of significant stenosis.
Pubmed
Web of science
Création de la notice
16/12/2014 20:06
Dernière modification de la notice
03/03/2018 13:38
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