Mechanical circulatory support for early surgical repair of postinfarction ventricular septal defect with cardiogenic shock

2020 ◽  
Author(s):  
Maximilian Vondran ◽  
Mahmoud S. Wehbe ◽  
Christian Etz ◽  
Tamer Ghazy ◽  
Ardawan J. Rastan ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Cardiogenic Shock ◽  
Mechanical Circulatory Support ◽  
Septal Defect ◽  
Surgical Repair ◽  
Circulatory Support ◽  
Postinfarction Ventricular Septal Defect

Outcome of Postinfarction Ventricular Septal Defect Repair in the Era of Mechanical Circulatory Support

2020 ◽  
Author(s):  
A. Tulun ◽  
B. Panholzer ◽  
F. Schoeneich ◽  
J. Schoettler ◽  
T. Puehler ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Mechanical Circulatory Support ◽  
Septal Defect ◽  
Circulatory Support ◽  
Defect Repair ◽  
Postinfarction Ventricular Septal Defect

Postinfarction Ventricular Septal Defect: Delayed Closure with Prolonged Mechanical Circulatory Support

1983 ◽  
Vol 35 (2) ◽  
pp. 138-142 ◽  
Author(s):  
Richard Baillot ◽  
Conrad Pelletier ◽  
Julio Trivino-Marin ◽  
Yves Castonguay
Keyword(s):  
Ventricular Septal Defect ◽  
Mechanical Circulatory Support ◽  
Septal Defect ◽  
Circulatory Support ◽  
Postinfarction Ventricular Septal Defect ◽  
Delayed Closure

Mechanical Circulatory Support as a Bridge to Definitive Surgical Repair After Post-Myocardial Infarct Ventricular Septal Defect

2015 ◽  
Vol 30 (6) ◽  
pp. 535-540 ◽  
Author(s):  
Reilly Hobbs ◽  
Varun Korutla ◽  
Yoshikazu Suzuki ◽  
Michael Acker ◽  
Prashanth Vallabhajosyula
Keyword(s):  
Ventricular Septal Defect ◽  
Mechanical Circulatory Support ◽  
Septal Defect ◽  
Surgical Repair ◽  
Myocardial Infarct ◽  
Circulatory Support

scholarly journals One-year outcome and survival analysis of deferred ventricular septal repair in cardiogenic shock supported with mechanical circulatory support

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256377
Author(s):  
Jahanzeb Malik ◽  
Faizan Younus ◽  
Asmara Malik ◽  
Muhammad Umar Farooq ◽  
Ahmed Kamal ◽  
...  
Keyword(s):  
Survival Analysis ◽  
Cardiogenic Shock ◽  
Mechanical Circulatory Support ◽  
Operative Mortality ◽  
Surgical Repair ◽  
Univariate Analysis ◽  
Categorical Variables ◽  
Circulatory Support ◽  
The Mean ◽  
One Year

Background and objective The effectiveness of deferred surgical repair of ventricular septal rupture (VSR) post-myocardial infarction (MI) with cardiogenic shock remains limited to case reports. Our study aimed to investigate the outcomes and survival analysis following mechanical circulatory support (MCS) in patients after VSR who develop cardiogenic shock. Methods We analyzed 27 patients with post-MI VSR and cardiogenic shock who received deferred surgical repair while stabilized on MCS between January 2018 and March 2020. After normality test adjustments, continuous variables were expressed as mean ± standard deviation (SD). These were compared using the Mann-Whitney U test and Student’s t-test. Categorical variables were compared using chi-square or Fisher’s exact test. To identify predictors of operative mortality, univariate analysis of clinical characteristics and interventions followed by logistic regression was carried out. P-value of < 0.05 was considered significant. Results All patients had preoperative MCS. Emergency repair was avoided in all the patients. The mean age of the participants was 64.96 with the majority being males (74.1%). On average, the mean time from MI to VSR repair was 18.85 days. Delayed revascularization was associated with increased mortality (OR 17.500, 95% CI 2.365–129.506, P = 0.005). Other factors associated with increased mortality were ejection fraction (EF), three-vessel disease, Killip class, early surgery, and prolonged use of inotropes. The operative mortality was 11% with an overall mortality of 33.3%. The one-year survival rate was 66.7%. Conclusion The use of MCS in adjunct to a deferred surgical approach shows an improved survival outcome of patients with VSR complicated by cardiogenic shock. Further investigations are required regarding the optimal time for MCS and surgical repair.

scholarly journals Mortality and risk factors after a surgical repair of postinfarction ventricular septal defect

2021 ◽  
Vol 122 (08) ◽  
pp. 555-558
Author(s):  
P. Artemiou ◽  
I. Gasparovic ◽  
B. Bezak ◽  
V. Hudec ◽  
I. Glonek ◽  
...  
Keyword(s):  
Risk Factors ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Surgical Repair ◽  
Postinfarction Ventricular Septal Defect

scholarly journals Longitudinal Outcomes After Surgical Repair of Postinfarction Ventricular Septal Defect in the Medicare Population

2020 ◽  
Vol 109 (4) ◽  
pp. 1243-1250
Author(s):  
George J. Arnaoutakis ◽  
Arman Kilic ◽  
John V. Conte ◽  
Sunghee Kim ◽  
J. Matthew Brennan ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Surgical Repair ◽  
Longitudinal Outcomes ◽  
Medicare Population ◽  
Postinfarction Ventricular Septal Defect
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