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[Treatment for the Postinfarction Ventricular Defect]
Takahiro Nishida1, Ryuji Tominaga
1Department of Cardiovascular Surgery, Kyushu University School of Medicine, Fukuoka, Japan.
Abstract:
Postinfarction ventricular septal defect (PIVSD) is uncommon but serious disease which normally required emergent surgery. Due to the severe hemodynamic condition of this disease, operative results are still poor even after the exclusion method was introduced by David and Komeda in 1990. In fact, the annual report in 2012 of General Thoracic Cardiovascular Surgery reported that the hospital mortality of the acute PIVSD was 26.7%. Percutaneous closure of PIVSD using the Amplatzer PIVSD device may be a reasonably effective treatment for the extremely poor-risk patients.
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