PMID- 1392226
OWN - NLM
STAT- MEDLINE
DCOM- 19921028
LR  - 20190918
IS  - 0886-0440 (Print)
IS  - 0886-0440 (Linking)
VI  - 7
IP  - 3
DP  - 1992 Sep
TI  - Technical improvements in the repair of acute postinfarction ventricular septal 
      rupture.
PG  - 198-202
AB  - Postinfarction ventricular septal rupture (VSR) is a high-risk complication 
      following myocardial infarction (MI). Surgical treatment has evolved to improve 
      an otherwise poor prognosis. Certain subsets of patients remain a formidable 
      challenge. The presence of cardiogenic shock has consistently been found to have 
      the highest risk. Over a 10-year period, our technique of repair has evolved from 
      established procedures to one we believe confers superior results. Endocardial 
      patching to viable myocardium reinforced with an epicardial patch not only 
      corrects the shunt but maintains ventricular geometry and avoids tension on 
      friable muscle. We report on a series of nine consecutive patients in cardiogenic 
      shock. The operative mortality was 22%, none due to low cardiac output syndrome, 
      shunt recurrence, or bleeding. All patients have been followed with 
      transesophageal echocardiography at a mean period of 14 months (range 3-31 
      months). One patient is in New York Heart Association (NYHA) Class I, four are in 
      NYHA Class II, and two in NYHA Class III.
FAU - Alvarez, J M
AU  - Alvarez JM
AD  - Department of Cardiothoracic Surgery, Royal North Shore Hospital, Sydney, 
      Australia.
FAU - Brady, P W
AU  - Brady PW
FAU - Ross, D E
AU  - Ross DE
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Card Surg
JT  - Journal of cardiac surgery
JID - 8908809
SB  - IM
MH  - Aged
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Rupture, Post-Infarction/complications/mortality/*surgery
MH  - Humans
MH  - Intraoperative Care/methods
MH  - Male
MH  - Prognosis
MH  - *Prostheses and Implants
MH  - Risk Factors
MH  - Shock, Cardiogenic/etiology/*mortality
EDAT- 1992/09/01 00:00
MHDA- 1992/09/01 00:01
CRDT- 1992/09/01 00:00
PHST- 1992/09/01 00:00 [pubmed]
PHST- 1992/09/01 00:01 [medline]
PHST- 1992/09/01 00:00 [entrez]
AID - 10.1111/j.1540-8191.1992.tb00802.x [doi]
PST - ppublish
SO  - J Card Surg. 1992 Sep;7(3):198-202. doi: 10.1111/j.1540-8191.1992.tb00802.x.