Author/Editor		Štajer, D; Noč, M; Horvat, M
Title		Is there always a need for urgent surgical treatment of postinfarction ventricular septal rupture?
Type		članek
Source		In: Mutz NJ, Koller W, Benzer H, editors. 7th European congress on intensive care medicine; 1994 Jun 14-17; Innsbruck, Austria. Bologna: Monduzzi editore,
Publication year		1994
Volume		str. 907-10
Language		eng
Abstract		Ventricular septal rupture (VSR) following acute myocardial infarction warrants surgical treatment in almost all patients. Urgent surgery is preferably performed, in order to reduce overall mortality, despite higher perioperative mortality. THe aim of our retrospective study was to determine the characteristics of patients with VSR who might tolerate and possibly benefit from a delayed surgical treatment. We treated 21 patients with VSR from January 1987. Nine of them were operated, 5 with a delay of great. th. 4 weeks. Patients with VSR who tolerated delayed surgery were typically without posterior wall myocardial infarction and severe tricuspid regurgitation, were haemodynamically stable on inotropic drugs, vasodilators and/or intraaortic balloon pump, had a smaller shunt flow, and were not mechanically ventilated.
Descriptors		VENTRICULAR SEPTAL RUPTURE MYOCARDIAL INFARCTION MIDDLE AGE AGED RETROSPECTIVE STUDIES AGE FACTORS HEMODYNAMICS