Post-infarction ventricular septal defect repair: cardioplegic arrest vs. on-pump beating-heart strategy-ten years of experience.

ABSTRACT:

Background

Post-infarction ventricular septal defect (VSD) repair is in general performed on a cardioplegic heart. An alternative concept is VSD repair on a beating heart. Aim of the study was to identify possible differences in survival between the two strategies.

Methods

The study was a retrospective, observational, single-centre cohort study of data from all patients who underwent post-infarction VSD repair at our institution between May 2012 and December 2022. VSD repair was performed either on an arrested heart with aortic cross-clamping [n = 28 (conventional subgroup)] or on a beating-heart [n = 18 (beating-heart subgroup)] using CPB without aortic cross-clamping. Primary end-point was survival at 1 year after surgery. Secondary endpoints in

SUBMITTER: Kaemmel J 

PROVIDER: S-EPMC12426030 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature