The enlargement rate of ventricular septal rupture is a risk factor for 30-day mortality in patients with delayed surgery.

ABSTRACT:

Background

Postinfarction ventricular septal rupture (VSR) is an uncommon but challenging mechanical complication for surgeons. This study analyzed the impacts of rupture size on surgical outcomes in patients with VSR.

Methods

During a 15-year period, from January 2006 to December 2020, 112 patients underwent repairs of postinfarction VSR. Patient clinical data, including angiographic and echocardiographic findings, operative procedures, early morbidity and mortality, and survival time were collated. Univariable and multivariable analyses were performed to identify the risk factors of 30-day mortality.

Results

The 30-day mortality rate was 7.1% for the whole cohort. The mean survival time estimate was 147.2 months [95% confidence interval (CI): 135.6 to 158.9 months],

SUBMITTER: Ju F 

PROVIDER: S-EPMC8756216 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature