Evidence map›Paper›PMID 37950265›Full record

ArticleJournal of cardiothoracic surgery2023

Surgical repair of post myocardial infarction ventricular septal defect: a retrospective analysis of a single institution experience.

Jian Shi, Jeremy Y Levett, Haiyu Lv, Guoan Zhang, Sha Wang, Tao Wei, Zhikun Wang, Xi Zhang, Dawei Feng, Kan Wang and 2 more

Erratum issuedOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cardiothoracic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

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  3. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

Jian ShiDepartment of Cardiac Surgery, Shaanxi Provincial People's Hospital, Xi'an, China. shijian-em@qq.com.
Jeremy Y LevettDivision of Cardiac Surgery, Department of Surgery, McGill University Health Centre, McGill University, Montreal, QC, Canada.
Haiyu LvDepartment of Cardiac Surgery, Shaanxi Provincial People's Hospital, Xi'an, China.
Guoan ZhangDepartment of Cardiac Surgery, Shaanxi Provincial People's Hospital, Xi'an, China.
Sha WangDepartment of Cardiac Surgery, Shaanxi Provincial People's Hospital, Xi'an, China.
Tao WeiDepartment of Cardiac Surgery, Shaanxi Provincial People's Hospital, Xi'an, China.
Zhikun WangDepartment of Cardiac Surgery, Shaanxi Provincial People's Hospital, Xi'an, China.
Xi ZhangDepartment of Cardiac Surgery, Shaanxi Provincial People's Hospital, Xi'an, China.
Dawei FengDepartment of Cardiac Surgery, Shaanxi Provincial People's Hospital, Xi'an, China.
Kan WangDepartment of Cardiac Surgery, Shaanxi Provincial People's Hospital, Xi'an, China.
Qiang LiuDepartment of Cardiac Surgery, Shaanxi Provincial People's Hospital, Xi'an, China.
Dominique Shum-TimDivision of Cardiac Surgery, Department of Surgery, McGill University Health Centre, McGill University, Montreal, QC, Canada.
Shaanxi Provincial People's Hospital · CNShanxi Medical University · CNMcGill University Health Centre · CA

Funding

Grant of the Science and Technology Commission of Shaanxi Province of China No 2023-YBSF-672
6 · The paper itself

Abstract

introductionVentricular septal defect (VSD) is a mechanical complication of acute myocardial infarction (MI) with a very high mortality, despite advances in surgical and circulatory support. The tremendous hemodynamic disturbance and the severely fragile myocardium render surgical repair a great challenge. The optimal time of surgical repair with or without circulatory support is still controversial.

objectiveThe aim of this study is to review our experience with early surgical repair of post-MI VSD in a single major cardiac institution in China.

methodsFrom January 2013 to October 2020, 9consecutive patients presented to our emergency department with a diagnosis of post-MI VSD. Among them, 8 were male, and the mean age was 58 ± 7years. The mean VSD size was 22.5 ± 5.7 mm. In all patients, an intra-aortic balloon pump (IABP)was inserted immediately after admission to cardiac surgery service. All patients were operated at a mean of 3.3 ± 2.9 days, and 4 within 24 h of the rupture (range 1 to 9 days post-VSD). In 5 cases, the VSD was located superiorly, and 4 cases in the posterior septum.

resultsThe overall 30-day mortality was 11% (1/9). Coronary angiography was performed in all nine patients, four with single vessel disease had coronary stents implanted, and the other five received concomitant coronary artery bypass grafting during VSD repair surgery. There was no death in all 5 patients with anterior septal perforation. One patient with posterior septal perforation died in the operating room due to bleeding from the ventriculotomy site. Three survived patients were diagnosed with a small residual defect and mild left to right shunt post-repair. However, no further intervention was required, and patients remained asymptomatic (Killip II in 1 and III in 2).

conclusionIn our experience, immediate insertion of IABP and hemodynamic stabilization with early surgical intervention of VSD repair and concomitant coronary revascularization provided an 89% survival rate.

Indexed as

Anterior Wall Myocardial InfarctionCardiac Surgical ProceduresHeart Septal Defects, VentricularMyocardial InfarctionAgedFemaleHumansMaleMiddle AgedMyocardiumRetrospective StudiesTreatment OutcomeAcute Myocardial InfarctionMortalitySurgical RepairVentricular septal defect

Identifiers

PMID37950265
PMCPMC10638688
OpenAlexW4388575770

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.