Successful early surgical treatment of a post‐MINOCA ventricular septal defect

2021 ◽  
Author(s):  
Riccardo Codecasa ◽  
Francesco Cabrucci ◽  
Beatrice Bacchi ◽  
Pierluigi Stefàno
Keyword(s):  
Surgical Treatment ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Early Surgical Treatment

scholarly journals Results of surgical treatment of ventricular septal defect

Heart ◽  
1971 ◽  
Vol 33 (Suppl) ◽  
pp. 88-93 ◽  
Author(s):  
W. Bircks ◽  
Chr. Reidemeister
Keyword(s):  
Surgical Treatment ◽  
Ventricular Septal Defect ◽  
Septal Defect

scholarly journals The pulmonary vascular blood supply in the pulmonary atresia with ventricular septal defect and its implications in surgical treatment

2003 ◽  
Vol 18 (1) ◽  
pp. 23-31
Author(s):  
Ulisses Alexandre Croti ◽  
Miguel Lorenzo Barbero Marcial ◽  
Carla Tanamati ◽  
Marcelo Biscegli Jatene ◽  
Sergio Almeida de Oliveira
Keyword(s):  
Surgical Treatment ◽  
Ventricular Septal Defect ◽  
Blood Supply ◽  
Septal Defect ◽  
Pulmonary Atresia

scholarly journals Surgical treatment of postinfarction ventricular septal defect: risk factors and outcome analysis

2017 ◽  
Vol 26 (1) ◽  
pp. 41-46 ◽  
Author(s):  
Marek Pojar ◽  
Jan Harrer ◽  
Nedal Omran ◽  
Zdenek Turek ◽  
Jana Striteska ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Treatment ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Outcome Analysis ◽  
Postinfarction Ventricular Septal Defect

scholarly journals Surgical Treatment of Ventricular Septal Defect

Thorax ◽  
1965 ◽  
Vol 20 (3) ◽  
pp. 278-284 ◽  
Author(s):  
V. O. Bjork
Keyword(s):  
Surgical Treatment ◽  
Ventricular Septal Defect ◽  
Septal Defect

Abstract 12635: Nationwide Long-term Follow-up of Pulmonary Atresia With Ventricular Septal Defect

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Anu Kaskinen ◽  
Juha-Matti Happonen ◽  
Ilkka P Mattila ◽  
Olli M Pitkänen
Keyword(s):  
Surgical Treatment ◽  
Ventricular Septal Defect ◽  
Pulmonary Artery ◽  
Septal Defect ◽  
Pulmonary Arteries ◽  
Pulmonary Atresia ◽  
Palliative Surgery ◽  
Total Study Population ◽  
Collateral Arteries

Introduction: The naturally poor survival of pulmonary atresia with ventricular septal defect (PA+VSD) has improved due to evolved perioperative and surgical treatment. Studies including PA+VSD patients, both with and without major aortopulmonary collateral arteries (MAPCAs), with extensive follow-up are scarce. This nationwide study aimed to investigate survival and surgical treatment in PA+VSD patients with and without MAPCAs. Methods: Study comprised 109 PA+VSD patients born in Finland between 1970 and 2007. We reviewed retrospectively medical records and operative reports through December 2011, as well as first available angiograms and preoperative angiograms prior to repair attempt. Results: The median follow-up time for the total study population, including also patients who died during the follow-up, was 11.4 years (IQR 0.8 - 21.1). The incidence of PA+VSD, which could be determined reliably from 1995 to 2007, was 6.1 per 100 000 live births. Although the patients with (n = 43) or without MAPCAs (n = 66) showed no difference in survival (p = 0.74), the patients without MAPCAs had better probability to achieve repair (64% vs. 28%, p < 0.0001). The bigger size of true central pulmonary arteries assessed by McGoon index at first angiogram [HR 0.66 (CI95% 0.49 - 0.88) per 0.5 McGoon index units, p = 0.006] and achievement of repair [HR 0.07 (CI95% 0.03 - 0.17), p < 0.0001] improved the overall survival. After successful repair survival was 93% at 1 year and 91% from 2 years on. Palliated patients, instead, had survival at 1, 5, 10, and 20 years of age of 55%, 42%, 34%, and 20% respectively. However, patients with right ventricle - pulmonary artery connection and septal fenestration had better survival than rest of the palliated patients (p = 0.001). Palliation with a systemic-pulmonary artery shunt increased McGoon index by 41% (p < 0.0001). Conclusions: The patients with MAPCAs had higher risk to remain palliated than patients without, although their survival was similar. Survival of PA+VSD was influenced by the initial size of true central pulmonary arteries and whether repair was achieved. Although palliative procedures may not improve the final outcome of PA+VSD, palliative surgery may have a role in its treatment.

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