Early mortality and long-term survival after repair of post-infarction ventricular septal rupture: An institutional report of experience

Basit Öğe Kaydı
dc.authorid0000-0002-8782-7603
dc.contributor.authorYalçınkaya, Adnan
dc.contributor.authorLafçı, Gökhan
dc.contributor.authorDiken, Adem İlkay
dc.contributor.authorAksoy, Eray
dc.contributor.authorÇiçek, Ömer Faruk
dc.contributor.authorLafçı, Ayşe
dc.contributor.authorKorkmaz, Kemal
dc.contributor.authorÇağlı, Kerim
dc.date.accessioned2019-05-13T09:03:54Z
dc.date.available2019-05-13T09:03:54Z
dc.date.issued2016
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractBackground: To determine predictors of mortality after surgical management of post-infarction ventricular septal rupture repair. Methods: A total of 63 patients (73.2%, mean age 67.22±7.71 years, male:female ratio; 35:28) underwent open heart surgery for post-infarction ventricular septal rupture repair. Patient demographics, operative data and postoperative parameters were analysed to reveal predictors of early mortality and long-term survival. Results: In-hospital mortality was 54.0% (34/63). Time from myocardial infarction to operation ? 14 days (OR: 4.10, 95% CI 1.16-14.46, p=0.02), systolic pulmonary artery pressure > 45 mmHg (OR: 4.14, 95% CI 1.110-15.496, p=0.03) and age (years) (OR: 1.09, 95% CI 1.002-1.194, p=0.04) were found to be independent predictors of in-hospital mortality. In multivariate Cox regression analysis, presence of pulmonary oedema on admission (HR: 4.95, 95% CI 1.58-15.54, p=0.006), age (years) (HR: 1.09, 95% CI 1.009-1.180, p= 0.02) and cross-clamp time <60 min (HR: 3.93, 95% CI 1.13-13.64, p=0.03) were found to be independent predictors of long-term survival. Within a follow-up of a median of 60.0 months, five-year survival rate was 67±9.0%. Conclusion: In line with the previous studies, our study demonstrated the benefits of delaying the repair for post-infarction ventricular septal rupture to allow adequate myocardial healing if haemodynamic status of the patient allows. © 2015 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ).
dc.identifier.citationYalçınkaya, A., Lafçı, G., Diken, A. İ., Aksoy, E., Çiçek, Ö. F., Lafçı, A., Korkmaz, K., Çağlı, K. (2016). Early mortality and long-term survival after repair of post-infarction ventricular septal rupture: An institutional report of experience. Heart, Lung and Circulation, 25(4), 384-391.
dc.identifier.doi10.1016/j.hlc.2015.08.016
dc.identifier.endpage391en_US
dc.identifier.issn1443-9506
dc.identifier.issue4en_US
dc.identifier.scopusqualityQ2
dc.identifier.startpage384en_US
dc.identifier.urihttps://doi.org/10.1016/j.hlc.2015.08.016
dc.identifier.urihttps://hdl.handle.net/11491/1556
dc.identifier.volume25en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherElsevier Ltd
dc.relation.ispartofHeart Lung and Circulation
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectMyocardial Infarctionen_US
dc.subjectSurvivalen_US
dc.subjectVentricular Septal Ruptureen_US
dc.titleEarly mortality and long-term survival after repair of post-infarction ventricular septal rupture: An institutional report of experience
dc.typeArticle

Dosyalar

Koleksiyon

Scopus İndeksli Yayınlar Koleksiyonu
Makale Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu