Determinants of in-hospital and long-term surgical outcomes after repair of postinfarction ventricular septal rupture

Fukushima, Satsuki
Tesar, Peter J.
Jalali, Homayoun
Clarke, Andrew J.
Sharma, Hemant
Choudhary, Jivesh
Bartlett, Harry
Pohlner, Peter G.

Open link

Publication date

July 2010

DOI

10.1016/j.jtcvs.2009.09.018

Publisher

Published by Mosby, Inc.

Abstract

ObjectivesSurgical repair of post–myocardial infarction ventricular septal rupture is challenging with reported early mortality being substantial. In addition, congestive cardiac failure and ventricular tachyarrhythmia frequently occur long term after the operation, although frequency and predictive factors of these events have been poorly identified.MethodsA consecutive series of 68 patients who underwent repair of postinfarction ventricular septal rupture by 14 surgeons between 1988 and 2007 was studied. Fifty-eight (85%) patients underwent repair in an urgent setting (<48 hours after diagnosis). Coronary artery bypass grafting was concomitantly performed in 48 (71%) patients. Mean follow-up period was 9.2 ± 4.9 years.ResultsThirty-day mo...