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- Title
Surgical Repair of Post Myocardial Infarction Ventricular Septal Defects: Single Center Experience of Fifteen Years.
- Authors
Yildirim, Serkan; Isik, Mehmet; Tanyeli, Omer; Dereli, Yuksel; Gormus, Niyazi
- Abstract
Aim: Post-myocardial infarction ventricular septal defects (PMIVSD) are rare but have extremely high mortality and morbidity. Mortality rates and risk factors vary in many studies. We aimed to evaluate the mortality rates and risk factors of ventricular septal defects (PMIVSD) after myocardial infarction performed in our center. Patients and Methods: We retrospectively enrolled the patients who underwent surgery for PMIVSD in our clinic from January 2006 to April 2020 with the age = 18. Results: A total of 9451 patients admitted to our center with acute myocardial infarction between 2006 and 2020 were examined. Twenty-eight patients operated for PMIVSD were included in the study. Our PMIVSD rate was 0.296%. When we compare those survivors and non-survivors the only thing which statistically significant was length of stay in hospital. In survivors it was 13 days when it 2 days in nonsurvivors group (p<0.001). One patient in survivor group was st ayed in hospital for 107 days. Conclusion: Timing of the surgery for PMIVSD patients is still challenging. Further strategies like implanting LVAD or percutaneous devices and waiting for a while before the surgery will be the better approach for PMIVSD patients.
- Subjects
VENTRICULAR septal defects; MYOCARDIAL infarction; MORTALITY risk factors; LENGTH of stay in hospitals
- Publication
Selcuk University Medical Journal, 2021, Vol 37, Issue 4, p301
- ISSN
1017-6616
- Publication type
Article
- DOI
10.30733/std.2021.01530