Surgical repair for ventricular septal rupture in 105 patients complicating with acute myocardial infarction: Fuwai Hospital’s 16 years’ follow-up results
- VernacularTitle:急性心肌梗死后合并室间隔穿孔外科修复 105 例：阜外医院 16 年随访结果
- Author:
LI Hanmei
1
;
XIANG Li
1
;
XU Jianping
1
;
SUN Hansong
1
;
SONG Yunhu
1
Author Information
1. Center of Adult Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100037, P.R.China
- Publication Type:Journal Article
- Keywords:
Ventricular septal rupture;
long-term outcome;
surgical treatment
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2019;26(5):451-456
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore our novel strategy of surgical treatment for ventricular septal rupture (VSR) and the long-term outcomes. Methods All the patients referred to the Center of Adult Surgery, Fuwai Hospital were treated with integration treatment of vasoactive agents, intra-aortic balloon pump, or left ventricular assist device. The timing of surgical treatment was individually customized. One hundred and five consecutive patients with VSR (63 males, 42 females ) presented at the mean age of 63 (range, 41 to 80) years. We retrospectively analyzed the results and followed up patients who survived the surgical procedure. Results They were divided into a hemodynamics stable group (25 patients, 2 received emergent operation and 23 received selective operation) and a hemodynamics unstable group (80 patients, 34 received vasoactive agents and selective operation, 4 received vasoactive agents and emergent operation, 20 received vasoactive agent, intra-aortic balloon counterpulsation (IABP), and selective operation, 16 received vasoactive agents, IABP, and emergent operation, 2 received vasoactive agents, IABP, ventilator support, and selective operation, 2 received vasoactive agents, IABP, and ventilator support and emergent operation, 2 received vasoactive agents, ventilator support, and selective operation). There were 3 in-hospital deaths. Ninety-nine patients were followed up, with a follow-up rate of 97.1%. The mean follow-up time was 76.56±47.78 months. There were 2 late deaths during follow-up. Conclusion The timing of surgical treatment for ventricular septal rupture should be individually customized. The long-term outcomes of ventricular septal rupture patients who survived the surgery are satisfactory.
