ABSTRACT
A review of postinfarction ventricular septal defects repaired surgically at Providence Hospital over the past 6 years is presented. Although this complication of myocardial infarction carries a high mortality rate, a lower rate can be achieved with early operative intervention. Preoperative pharmacologic reduction of preload, afterload, and intra-aortic balloon pumping are only temporizing measures to allow delineation of concomitant lesions. Operative mortality does not appear to be influenced by posterior location of the ventricular septal defects.
Subject(s)
Heart Rupture, Post-Infarction/surgery , Heart Rupture/surgery , Heart Septum/surgery , Aged , Cardiomyopathies/surgery , Female , Heart Ventricles , Humans , Male , Middle Aged , Myocardial Infarction/complicationsSubject(s)
Aorta, Abdominal/physiology , Hemodynamics , Animals , Aorta, Abdominal/surgery , Blood Pressure , Dogs , Extremities/blood supply , Female , Kidney , Vascular ResistanceABSTRACT
One hundred and nine patients underwent subfascial venous ligation for symptoms of severe venous stasis disease for an 18 year period. Long term follow-up study, with an average length of ten years, was obtained in 83 of these patients. Twenty-seven patients reported a recurrence of stasis ulceration during this period, and 19 patients required further operations to correct some aspect of the venous disease. Results of our experience suggest that subfascial venous ligation be considered for all patients with confirmed perforating venous incompetence, but the procedure should be regarded only as a palliative measure in patients with severe venous stasis disease.
