Postinfarction ventricular septal rupture: can we improve clinical outcome of surgical repair?

General Thoracic and Cardiovascular Surgery
Tohru Asai

Abstract

Postinfarction ventricular septal rupture (VSR) is a lethal structural complication following acute myocardial infarction (AMI). Surgical repair of VSR was first reported in 1957 by Cooley. Since then, many methods have been introduced, variously using right and/or left ventriculotomy. Daggett used infarctectomy and septal reconstruction via left ventriculotomy, reporting 52% operative mortality when repair was attempted within 21 days, but only 7% when done after 3 weeks. Komeda and David described single pericardial patch infarct exclusion without infarctectomy through a left ventriculotomy in 1990. It seemed conceptually simple, and became a standard technique. Modifications of that technique and development of other methods have been reported by many surgeons. Nonetheless, recent clinical outcomes of surgical repairs demonstrated operative mortality from 19 to 81%. Predictors for poor survival include cardiogenic shock, the need for repair within 7 days after AMI, posterior VSR and shunt recurrence. Reasons for poor outcomes after surgical repair of VSR include preoperative cardiogenic shock, the unclear boundary between infarction and viable myocardium in the acute phase, and frequent shunt recurrence. Surgical complicatio...Continue Reading

References

Sep 1, 1977·Annals of Surgery·W M DaggettW G Austen
Nov 11, 1992·The Annals of Thoracic Surgery·D D MuehrckeW G Austen
Aug 1, 1986·The Annals of Thoracic Surgery·J L FilgueiraR Scola
Sep 1, 1969·The Annals of Thoracic Surgery·A B IbenN E Shumway
Sep 1, 1980·Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics·Y ItoS Ohtsu
Nov 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·T E DavidZ Sun
Jan 1, 1993·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·A UsuiT Abe
Apr 1, 1997·The Annals of Thoracic Surgery·T ShibataH Kinoshita
Jun 10, 1998·Seminars in Thoracic and Cardiovascular Surgery·T E David, S Armstrong
Oct 8, 1999·The American Journal of Cardiology·R PrêtreM I Turina
Feb 2, 2000·The Annals of Thoracic Surgery·R PrêtreM I Turina
Aug 2, 2000·The Annals of Thoracic Surgery·T ItoA Maekawa
Aug 5, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·M A DejaA W Sosnowski
May 18, 2001·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·N TabuchiM Toyama
Jun 19, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·H TanakaM Sunamori
Apr 5, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·L LabrousseC Deville
May 3, 2002·Journal of the American College of Cardiology·Leonardo A M ZornoffUNKNOWN SAVE Investigators
Aug 14, 2002·The Annals of Thoracic Surgery·Jurgen PassageMark F O'Brien
Mar 29, 2003·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·G CerinL De Ambroggi
Feb 16, 1963·JAMA : the Journal of the American Medical Association·W S PAYNEJ W KIRKLIN
Dec 4, 2003·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·T A BarkerG J Grotte
Feb 3, 2004·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ralf HolzerZiyad M Hijazi
Feb 5, 2005·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Anders JeppssonKjell Rådegran
Aug 3, 2007·Interactive Cardiovascular and Thoracic Surgery·Victor S CostacheDominique Blin
Mar 11, 2008·The Journal of Thoracic and Cardiovascular Surgery·Tsutomu SugimotoSigetaka Kasuya
Nov 28, 2008·European Heart Journal·Holger ThieleGerhard Schuler
Feb 24, 2009·The Annals of Thoracic Surgery·Simon MaltaisLouis P Perrault
Mar 31, 2009·The Journal of Thoracic and Cardiovascular Surgery·Runar LundbladJan L Svennevig
Jul 28, 2009·The Annals of Thoracic Surgery·Hiroshi ImagawaKanji Kawachi
Nov 19, 2009·The Journal of Thoracic and Cardiovascular Surgery·Satsuki FukushimaPeter G Pohlner
May 25, 2010·The Annals of Thoracic Surgery·Toshiro KobayashiKimikazu Hamano
Jun 3, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ina Michel-BehnkeUNKNOWN Investigators of the Working Group Interventional Cardiology of the German Association of Pediatric Cardiology
Oct 6, 2010·The American Journal of Cardiology·Abel E MoreyraUNKNOWN MIDAS Study Group (MIDAS 13)
May 31, 2012·Seminars in Thoracic and Cardiovascular Surgery·Tohru AsaiTakeshi Kinoshita
Jun 13, 2012·General Thoracic and Cardiovascular Surgery·Toshiaki ItoAtsuo Maekawa
Sep 8, 2012·General Thoracic and Cardiovascular Surgery·Hiroyuki KuwanoHiroyasu Yokomise
Feb 21, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Soh HosobaMasato Hayakawa
Aug 31, 2013·General Thoracic and Cardiovascular Surgery·Jun AmanoHiroyasu Yokomise
Oct 31, 2014·General Thoracic and Cardiovascular Surgery·Munetaka MasudaHiroyasu Yokomise

❮ Previous
Next ❯

Citations

Oct 17, 2016·General Thoracic and Cardiovascular Surgery·Susumu IsodaMunetaka Masuda
Feb 1, 2018·Journal of Cardiothoracic Surgery·Takuma YamasakiTakeshi Hiramatsu
Jan 31, 2020·Journal of Cardiac Surgery·Hideki KitamuraYasuhiko Kawaguchi
Apr 22, 2020·Journal of Intensive Care Medicine·Jacob C JentzerCharanjit Rihal
Jun 13, 2020·General Thoracic and Cardiovascular Surgery·Homare OkamuraMamoru Arakawa
Jul 23, 2021·Journal of Cardiac Surgery·Ryosuke KowatariMasahito Minakawa
May 24, 2021·The Annals of Thoracic Surgery·Takeshi KinoshitaTomoaki Suzuki

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiogenic Shock

Cardiogenic shock is a devastating consequence of acute myocardial infarction and is associated with an extremely high mortality. Here is the latest research.

Anemia

Anemia develops when your blood lacks enough healthy red blood cells. Anemia of inflammation (AI, also called anemia of chronic disease) is a common, typically normocytic, normochromic anemia that is caused by an underlying inflammatory disease. Here is the latest research on anemia.

Related Papers

Kyobu geka. The Japanese journal of thoracic surgery
Shigeru IkenagaHaruhiko Okada
European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Soh HosobaMasato Hayakawa
Kyobu geka. The Japanese journal of thoracic surgery
Tetsuya NiinoHaruka Kimura
Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
Susumu IsodaTadaaki Maehara
© 2022 Meta ULC. All rights reserved