Surgical Treatment of Post-Infarction Ventricular Septal Defect
Author Information
Author(s): Coskun Kasim Oguz, Coskun Sinan Tolga, Popov Aron Frederik, Hinz Jose, Schmitto Jan Dieter, Bockhorst Kerstin, Stich Kathrin Monika, Koerfer Reiner
Primary Institution: University of Göttingen, Göttingen, Germany
Hypothesis
What are the outcomes of surgical treatment for patients with post-infarction ventricular septal defect?
Conclusion
Surgical intervention is necessary for most patients with mechanical complications following myocardial infarction, and timing of the surgery significantly affects outcomes.
Supporting Evidence
- Hospital mortality in the post-infarction ventricular septal defect group was 32%.
- The mortality of urgent repair within 3 days of intractable cardiogenic shock was 100%.
- All patients who underwent surgical repair later than day 36 survived.
Takeaway
Doctors can help patients with a serious heart problem that can happen after a heart attack by doing surgery, but it's important to wait a little while to make sure the surgery works better.
Methodology
Retrospective analysis of hospital records of 41 patients who underwent surgery for post-infarction ventricular septal defect between 1990 and 2005.
Limitations
The study is retrospective and has a smaller sample size compared to multi-centre studies.
Participant Demographics
30 males and 11 females, ages ranging from 48 to 81 years, mean age 68 ± 8 years.
Digital Object Identifier (DOI)
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