Operative management of postinfarction ventricular septal defect.

  title={Operative management of postinfarction ventricular septal defect.},
  author={Tirone E. David},
  journal={Seminars in thoracic and cardiovascular surgery},
  volume={7 4},
  • Tirone E. David
  • Published 1995 in Seminars in thoracic and cardiovascular surgery
Postinfarction ventricular septal defect (VSD) remains a surgical challenge because it is technically difficult to reconstruct the septum during the acute phase of a transmural myocardial infarction, and it is a relatively uncommon operative procedure. Conservative treatment is not advisable because most patients develop congestive heart failure and cardiogenic shock, and die. Surgery should be performed soon after the diagnosis in most patients. Hemodynamically compromised patients should have… CONTINUE READING
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