Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
|
pubmed:dateCreated |
1990-7-23
|
pubmed:abstractText |
13 patients were operated on during 1974-88 for ventricular septal defect secondary to myocardial infarction. 7 infarctions were inferior and 6 anterior. At the time of operation 5 patients were in shock. Besides the correction of ventricular septal defect coronary artery by-pass grafting was performed in 6 patients and left ventricular aneurysmectomy in 3 patients. The operative mortality was 31%. The cause of death was low output syndrome in 3 cases and a new rupture through the left ventricular free wall in one case. Postoperative shunting was detected in 5 patients. During an average follow-up time of 6.3 years (range 0.5-15 years) 3 patients died from a new myocardial infarction. The mean performance levels of the patients still living was NYHA II. Prompt diagnosis of a ventricular septal defect due to myocardial infarction and its immediate surgical treatment is recommended. The results are poor in the presence of primary shock and for inferior infarction.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
|
pubmed:issn |
0355-9521
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
79
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
31-6
|
pubmed:dateRevised |
2004-11-17
|
pubmed:meshHeading |
pubmed-meshheading:2357052-Adult,
pubmed-meshheading:2357052-Aged,
pubmed-meshheading:2357052-Counterpulsation,
pubmed-meshheading:2357052-Female,
pubmed-meshheading:2357052-Follow-Up Studies,
pubmed-meshheading:2357052-Heart Rupture,
pubmed-meshheading:2357052-Heart Rupture, Post-Infarction,
pubmed-meshheading:2357052-Heart Septum,
pubmed-meshheading:2357052-Heart Ventricles,
pubmed-meshheading:2357052-Humans,
pubmed-meshheading:2357052-Male,
pubmed-meshheading:2357052-Middle Aged,
pubmed-meshheading:2357052-Postoperative Complications,
pubmed-meshheading:2357052-Reoperation
|
pubmed:year |
1990
|
pubmed:articleTitle |
Surgical treatment of ventricular septal defect secondary to myocardial infarction.
|
pubmed:affiliation |
Department of Thoracic and Cardiovascular Surgery, University Central Hospital, Helsinki, Finland.
|
pubmed:publicationType |
Journal Article
|