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Cirujano general
versão impressa ISSN 1405-0099
Resumo
HERNANDEZ-MENESES, Silvia; MEZA-LOPEZ, Luis Raúl; OLVERA-LOZANO, Jorge Tizoc e GONZALEZ-DIAZ, Belinda Elizabeth. Surgical treatment of postinfarction ventricular septal rupture. Cir. gen [online]. 2020, vol.42, n.4, pp.281-287. Epub 01-Ago-2022. ISSN 1405-0099. https://doi.org/10.35366/101397.
Introduction:
Postinfarction ventricular septal rupture is a high mortality complication of myocardial infarction; but the evolution of surgical techniques has led to early repair with better results.
Objective:
To describe the surgical experience in patients with postinfarction ventricular septal rupture at the Cardiology Hospital of CMN SXXI.
Methods:
A retrospective, observational case series study was conducted. Collected data records that met the inclusion criteria were considered.
Results:
From January first, 1999, to April 30, 2015, 49 patients who underwent surgical repair were registered, only 27 met the inclusion criteria: 15 men and 12 women. Mean age was 62 years old, with 63% overall mortality. Of surviving patients, 50% presented a residual ventricular septal defect: one patient underwent reoperation for total correction, and the remaining continued on follow up.
Conclusions:
The best surgical outcomes were obtained in patients undergoing repair after two weeks of diagnosis of myocardial infarction, being in functional class I and II of the New York Heart Association. As to survival, patients who underwent simple patch repair had lower incidence of residual defects.
Palavras-chave : Myocardial infarction; ventricular septal rupture; surgical procedure.