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The clinical challenge to reduce the postoperative residual shunt in surgical repair of postinfarction ventricular septal perforation
- Source :
- Interactive cardiovascular and thoracic surgery. 11(1)
- Publication Year :
- 2010
-
Abstract
- Postinfarction ventricular septal perforation (VSP) remains a surgical challenge. The present study describes the use of an interrupted suture technique with the goal of reducing the incidence of postoperative residual shunt. Thirty-four consecutive cases of patients who underwent David's procedure for VSP between 1996 and 2008 were reviewed. A running suture technique was used to close the ruptured septum (C-group: 14 patients) prior to 2002, while the interrupted suture technique (I-group: 20 patients) was used after that point. The overall 30-day mortality was 26.5%, and the mortality rate was not different when comparing the two groups. Postoperative residual shunt was present in five patients (36%) in the C-group and in two patients (10%) in the I-group. In conclusion, use of the interrupted suture technique resulted in a lower incidence of postoperative residual shunt rate. However, the mortality associated with surgical repair of VSP remains high.
- Subjects :
- Pulmonary and Respiratory Medicine
Male
medicine.medical_specialty
Time Factors
Kaplan-Meier Estimate
Residual
Ventricular Septal Rupture
Postoperative Complications
Japan
medicine
Humans
Hospital Mortality
Cardiac Surgical Procedures
Aged
Surgical repair
Aged, 80 and over
Ventricular Septal Perforation
business.industry
Mortality rate
Suture Techniques
Shunt (medical)
Surgery
Lower incidence
Treatment Outcome
Female
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 15699285
- Volume :
- 11
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Interactive cardiovascular and thoracic surgery
- Accession number :
- edsair.doi.dedup.....139102519788bb9a726b7dc247a984b3