Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1983-8-11
pubmed:abstractText
Eight patients (mean age 63.75 years) were operated upon for post-myocardial infarction ventricular septal rupture (PMI-VSD) within 1 to 21 days of the infarction and 8 hours to 18 days of rupture. All but one were in low cardiac output syndrome necessitating intra-aortic balloon pumping; all had cardiac catheterization. The VSD was closed via a transinfarct ventriculotomy with an oversized folded double patch, the folded edge being incorporated in the ventriculotomy closure. Five patients received seven saphenous vein coronary bypass grafts. None had recurrent shunts. Six patients (anterior VSD, five; posterior VSD, one) are survivors (18 months to 2.5 years) in Class I (five) or Class II (one). Two patients died postoperatively, one (anterior VSD) of an arrhythmia and the other (posterior VSD) while on biventricular bypass support. Two survivors in whom prolonged preoperative stabilization was attempted required emergency operation before the planned waiting period of 3 weeks had elapsed, and both had postoperative multiorgan complications. Our present approach is to operate as soon as clinical and catheterization diagnosis of VSD is made.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0022-5223
pubmed:author
pubmed:issnType
Print
pubmed:volume
86
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
41-6
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed:year
1983
pubmed:articleTitle
Post-myocardial infarction ventricular septal defect. Improved outlook.
pubmed:publicationType
Journal Article