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James S. Donahoo
Robert K. Brawley
Vincent L. Gott
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Ann Thorac Surg 1975;19:648-653
© 1975 The Society of Thoracic Surgeons

Articles

Factors Influencing Survival Following Postinfarction Ventricular Septal Defects

James S. Donahoo, M.D.*, Robert K. Brawley, M.D., Dean Taylor, M.D., Vincent L. Gott, M.D.

From the Departments of Surgery and Medicine, The Johns Hopkins University School of Medicine, Baltimore, Md.

* Address reprint requests to Dr. Donahoo, Blalock 608, The Johns Hopkins Hospital, Baltimore, Md. 21205.

Postinfarction ventricular septal defect (VSD) carries a grave prognosis. Surgical closure appears to improve survival. Eighteen patients with postinfarction VSD are reviewed. Nine died before operation could be performed and 9 underwent closure of the VSD; 4 patients are late survivors.

Factors which appear to influence survival are: (1) time of surgical intervention after appearance of VSD, (2) presence or absence of cardiogenic shock, (3) location of the infarct, and (4) operative approach to the VSD. Based on these factors, a method of management for postinfarction VSD is outlined.




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