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The Annals of Thoracic Surgery, Vol 19, 648-653, Copyright © 1975 by The Society of Thoracic Surgeons

ARTICLES

Factors influencing survival following postinfarction ventricular septal defects

JS Donahoo, RK Brawley, D Taylor and VL Gott

Postinfarction ventricular septal defect (VSD) carries a grave prognosis. Surgical closure appears to improve survival. Eighteen patients with postinfarction VSD are reviewed. Nine died before operation could be performed and 9 underwent closure of the VSD; 4 patients are late survivors. Factors which appear to influence survival are: (1) time of surgical intervention after appearance of VSD, (2) presence or absence of cardiogenic shock, (3) location of the infarct, and (4) operative approach to the VSD. Based on these factors, a method of management for postinfarction VSD is outlined.


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V. Menon, J. G. Webb, L. D. Hillis, L. A. Sleeper, R. Abboud, V. Dzavik, J. N. Slater, R. Forman, E. S. Monrad, J. D. Talley, et al.
Outcome and profile of ventricular septal rupture with cardiogenic shock after myocardial infarction: a report from the SHOCK Trial Registry
J. Am. Coll. Cardiol., September 1, 2000; 36(3_Suppl_A): 1110 - 1116.
[Abstract] [Full Text] [PDF]


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