Repair of post-infarct ventricular septal defect with or without coronary artery bypass grafting in the northwest of England: a 5-year multi-institutional experience

Barker, Thomas; Ramnarine, Ian; Woo, Eiki; Grayson, Antony D.; Au, John; Fabri, Brian M.; Bridgewater, Ben; Grotte, Geir J.

doi:10.1016/s1010-7940(03)00465-2

Cited by 89 publications

(92 citation statements)

References 23 publications

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“…This difference was close to statistical significance: p = 0.059 with Fisher's exact test. Our total percentage of residual shunt is similar to the 24% of Barker et al [21], who used mixed techniques as we did. Other authors reported figures as high as 43% [7].…”

Section: Discussionsupporting

confidence: 88%

Surgical repair of post-infarction ventricular septal defect: 19 years of experience

Mantovani

Mariscalco

Leva

et al. 2006

International Journal of Cardiology

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Section: Discussionsupporting

confidence: 88%

Surgical repair of post-infarction ventricular septal defect: 19 years of experience

Mantovani

Mariscalco

Leva

et al. 2006

International Journal of Cardiology

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“…4 This introduces a significant selection bias into surgical series, artificially inflating survival rates. [5][6][7][8] The advent of the Amplatzer family of ventricular septal defect (VSD) closure devices offers a potentially attractive alternative to surgical repair with multiple device implants possible if required ( Figure 1A). A few series of selected cases exist, with good results reported, [9][10][11] but there are no large series with early as well as delayed intervention.…”

mentioning

confidence: 99%

Percutaneous Closure of Postinfarction Ventricular Septal Defect

et al. 2014

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Background-Postinfarction ventricular septal defect carries a grim prognosis. Surgical repair offers reasonable outcomes in patients who survive a healing phase. Percutaneous device implantation represents a potentially attractive early alternative. Methods and Results-Postinfarction ventricular septal defect closure was attempted in 53 patients from 11 centers (1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012); aged 72±11 years; 42% female). Nineteen percent had previous surgical closure. Myocardial infarction was anterior (66%) or inferior (34%). Time from myocardial infarction to closure procedure was 13 (first and third quartiles, 5-54) days. Devices were successfully implanted in 89% of patients. Major immediate complications included procedural death (3.8%) and emergency cardiac surgery (7.5%). Immediate shunt reduction was graded as complete (23%), partial (62%), or none (15%). Median length of stay after the procedure was 5.0 (2.0-9.0) days. Fifty-eight percent survived to discharge and were followed up for 395 (63-1522) days, during which time 4 additional patients died (7.5%).

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“…По дан-ным литературы госпитальная летальность при хирурги-ческом закрытии дефекта составляет 23-81% [2,15,16]. Высокая летальность после подобных операций обус-ловлена исходной тяжестью оперируемых больных, пожилым возрастом пациентов, тяжелой сопутствую-щей патологией, а также нередкими техническими про-блемами хирургической процедуры [17].…”

Section: Discussionunclassified

Endovascular treatment of postinfarction ventricular septal defects

Khelimskii¹,

Крестьянинов²,

Осиев³

et al. 2016

Patol krovoobrashch kardiokhir

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Aim: The study was designed to evaluate the possibility and safety of transcatheter closure of postinfarction ventricular septal defects in different periods after acute myocardial infarction. Methods: Over a period from 2010 to 2015 15 patients (11 females and 4 males) underwent transcatheter closure of postinfarction ventricular septal defects. The time from the onset of infarction to the intervention varied between 1 day and 6 months (mean 10.9 weeks). Three patients were treated in an acute phase of infarction (two weeks or less). The defect size ranged 7-24 mm (mean 13.5 mm), while the implanted devices sized 12-34 mm (mean 22.8 mm). The procedure and screening time amounted to 67-170 (mean 115.3) and 14-78 (mean 32.5) minutes respectively. Results: A successful device implantation occurred in all but one patient whose occluder was dislodged. This patient later underwent successful surgical VSD closure. Occluder implantation failed to improve the clinical status of two patients in a critical condition. They developed multiple organ failure and died at 2 and 9 days after the procedure. Conclusion: Transcatheter closure of postinfarction ventricular septal defects may be an alternative to surgery in patients with suitable anatomy and multiple comorbidities. However, in-hospital mortality remains high, even after successful occluder implantation.

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Repair of post-infarct ventricular septal defect with or without coronary artery bypass grafting in the northwest of England: a 5-year multi-institutional experience

Abstract: These data provide evidence that concomitant CABG is significantly beneficial to mid-term mortality rates. We recommend that patients who present with post MI VSD who have multivessel disease should be routinely revascularised.

Cited by 89 publications

References 23 publications

Surgical repair of post-infarction ventricular septal defect: 19 years of experience

Surgical repair of post-infarction ventricular septal defect: 19 years of experience

Percutaneous Closure of Postinfarction Ventricular Septal Defect

Endovascular treatment of postinfarction ventricular septal defects

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