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[Ventricular septum rupture following acute myocardial infarct]
Wiener Medizinische Wochenschrift (1946)
|March 15, 1990
Insights
Urgent assessment is crucial for postinfarction ventricular septal defects. Surgical repair offers satisfying long-term outcomes for survivors, despite high initial mortality and complications like cardiogenic shock.
Area of Science:
- Cardiology
- Cardiac Surgery
Context:
- Postinfarction ventricular septal defect (VSD) is a rare but serious complication of myocardial infarction.
- Early surgical intervention is often necessary but associated with high morbidity and mortality.
Purpose:
- To evaluate the outcomes of surgical repair for postinfarction ventricular septal defects.
- To assess the long-term results and identify factors influencing survival.
Summary:
- 16 operations were performed on 15 patients with postinfarction VSD between 1980 and 1989.
- 11 patients experienced cardiogenic shock, with 9 requiring intraaortic balloon pump support.
- 7 patients died, while 8 survivors achieved clinical stadium II after a mean follow-up of 49 months.
Impact:
- Despite significant challenges, surgical repair of postinfarction VSD can lead to satisfying long-term outcomes in survivors.
- Highlights the critical need for prompt evaluation and management of this life-threatening condition.
Abstract:
Between 1980 and 1989 15 patients underwent 16 operations for repair of a postinfarction ventricular septal defect. Cardiogenic shock developed in 11 patients, in 9 cases an intraaortic balloon-pump was implanted. 7 patients died, the 8 survivors are in clinical stadium II after a mean follow up of 49 months. We think, that septal rupture after myocardial infarction should be referred to urgent assessment. The results in long term survivors are very satisfying.