From: Outcome and survival analysis of surgical repair of post-infarction ventricular septal rupture
Variable | Survivors n = 23 (%) | Non-survivors n = 15 (%) | P-value |
---|---|---|---|
Pre-operative | Â | Â | Â |
NYHA Class (II-III / IV) | 12 (52.2) / 11 (47.8) | 1 (6.7) / 14 (93.3) | 0.004 |
Emergency Surgery | 17 (73.9) | 15 (100) | 0.031 |
Cardiogenic Shock | 13 (56.5) | 13 (86.7) | 0.051 |
Inotropic support | 7 (30.4) | 10 (66.7) | 0.028 |
Type of MI (Anterior/Inferior) | 19 (82.6) / 4 (17.4) | 10 (66.7) / 5 (33.3) | 0.259 |
Right ventricular dysfunction | 3 (13.0) | 7 (46.7) | 0.021 |
Multi-vessel coronary artery disease | 13 (56.5) | 9 (69.2) | 0.452 |
Total occlusion of infarcted artery | 16 (69.6) | 10 (76.9) | 0.636 |
Thrombolysis | 7 (30.4) | 4 (26.7) | 0.802 |
Intra-aortic balloon pump | 22 (95.7) | 15 (100) | 0.413 |
EuroSCORE II | 22.8 ± 9.4 | 34.3 ± 9.8 | 0.001 |
Intra-operative | Â | Â | Â |
VSR Location (Anterior/Posterior) | 19 (82.6) / 4 (17.2) | 9 (60.0) / 6 (40.0) | 0.122 |
CPB time (minutes) | 148.0 ± 52.3 | 158.8 ± 53.0 | 0.540 |
Red blood cell transfusion > 2 units | 4 (17.4) | 8 (57.1) | 0.012 |
Concomitant CABG | 12 (52.2) | 7 (46.7) | 0.740 |
Post-operative | Â | Â | Â |
Renal failure | 8 (34.8) | 11 (73.3) | 0.020 |
Renal replacement therapy | 2 (8.7) | 10 (66.7) | <0.0005 |
Re-exploration for bleeding | 4 (17.2) | 4 (26.7) | 0.493 |
DIVC | 0 (0) | 3 (20.0) | 0.025 |