Repair of Postinfarction Ventricular Septal Defect / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 906-912, 2006.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-53559
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND:
Ventricular septal defect (VSD) is rare but feared complication after acute myocardial infarction. The patient could survive by surgery only, but the surgical mortality is still high. We investigate the surgical result and predictors for early surgical mortality. MATERIAL ANDMETHOD:
Between August 1993 and February 2006, 8 patients (male, 2; female, 6) with postinfarct VSD underwent surgical repair. Seven patients had one-vessel disease of left anterior descending artery, and 6 of them had wide extension of infarction to posterior septal wall as well as anterior septal wall of both ventricles. One patient had concomitant coronary bypass grafting to a coronary lesion unrelated to the infarction. Two patients had concomitant tricuspid annuloplasty and 1 patient mitral valvuloplasty.RESULT:
Surgical mortality was 37.5% (3 patients). They all had only one-vessel disease of left anterior descending artery, which made extended posterior septal wall infarction as well as anterior septal wall infarction of both ventricles. In preoperative M-mode echocardiographic study of left ventricle, they had lower ejection fraction than survivors (34.9+/-4.2 vs. 54.8+/-12.3; p=0.036).CONCLUSION:
Most of patients with postinfarction VSD had one-vessel disease of left anterior descending artery. Early surgical mortality occurred in the patients with poor ejection fraction of left ventricle and the wide anterior septal wall infarction extending to the posterior septum.
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Doença Cardiovascular
/
Anomalias Congênitas e Cromossômicas
/
Doença Isquêmica do Coração
/
Outras Doenças Circulatórias
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Artérias
/
Ecocardiografia
/
Mortalidade
/
Sobreviventes
/
Transplantes
/
Comunicação Interventricular
/
Ventrículos do Coração
/
Infarto
/
Infarto do Miocárdio
Tipo de estudo:
Estudo prognóstico
Limite:
Feminino
/
Humanos
Idioma:
Coreano
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Ano de publicação:
2006
Tipo de documento:
Artigo