Repair of a posterior ventricular septal rupture after an acute myocardial infarction is a great challenge for cardiac surgeons. The authors describe their surgical technique in this regard, giving special attention to technical maneuvers in order to achieve a successful result.
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Myocardial Infarction
April 23, 2016
An editorial discussion of the impressive 10-year benefits of CABG for ischemic cardiomyopathy as found in the STICH trial.
February 18, 2016
The authors studied the relationship of outcomes after non-cardiac surgery to blood transfusion among over 7,300 patients. Patients with significant bleeding were excluded. Patients were stratified according to the occurence of postoperative MI and the nadir hematocrit value (20-24%, 24-27%, 27-30%). The outcome was 30-day mortality. In the no-
January 30, 2016
Outcomes of CABG for patients in cardiogenic shock after acute MI were evaluated using data from the STS Database. The study group of nearly 5,500 patients comprised 1.5% of all CABG patients during the study period. Operative mortality was 18.7%. Mechanical circulatory support use was most common in patients with more risk factors or high clinica
January 12, 2016
Left ventricular pseudoaneurysm is a rare mechanical complication of ischemic heart disease. This video demonstrates a repair of a large left ventricular pseudoaneurysm with two layers of patches.
March 2, 2015
This interesting article mapped myocardial remodeling in swine after induced MI using serial 3D MRI imaging. Principal strain magnitude and angle were measured, and demonstrated progressive decrease in magnitude and angle rotation away from the site of injury, resulting in adverse remodeling and decreased contractility.
February 25, 2015
This study describes the development and validation of a risk score for post-operative mortality in patients undergoing surgical ventricular reconstruction (SVR). The study included data on 525 patients who underwent SVR at a single institution since 2001. Most patients (93%) had cocomitant CABG and 27% of patients had concomitant mitral surgery.
February 24, 2015
This study evaluated potential safety concerns of using NSAIDS in combination with antithrombotic agents 30 days or more after MI. The population studied was comprised of nearly 62,000 Danish patients. Use of NSAIDs at any time doubled the risk of a bleeding episode and increased the risk of a major cardiovascular event by 40%. The NSAIDs risks we
January 19, 2015
This video demonstrates a patch repair on a 62-year-old male patient with situs inversus.
December 3, 2014
This study determined the relationship of pre-hospital use of epinephrine during resuscitation to survival in patients who experienced return of spontaneous circulation after out of hospital cardiac arrest. 73% received epinephrine, and 17% of those patients experienced a good outcome (discharged alive with good neurologic status).