Evidence map›Paper›PMID 40593319›Full record

ArticleSurgery today2025

Evaluating the efficacy of the simple patch closure technique in ventricular septal rupture repair following acute myocardial infarction: a retrospective single-center study.

Ikuko Shibasaki, Yasuyuki Yamada, Shunsuke Saito, Yusuke Takei, Toshiyuki Kuwata, Yuta Kanazaw, Takashi Kato, Go Tsuchiya, Hironaga Ogawa, Hirotsugu Fukuda

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Article in Surgery today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Ikuko ShibasakiDepartment of Cardiac and Vascular Surgery, Dokkyo Medical University School of Medicine, 880 Kitakobayashi, Mibu, Tochigi, Shimotsugagun, 321-0293, Japan. sibasaki@dokkyomed.ac.jp.ORCID http://orcid.org/0000-0002-4017-8503
Yasuyuki YamadaDepartment of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Gunma, Japan.
Shunsuke SaitoDepartment of Cardiovascular Surgery, Osaka University Hospital, Osaka, Japan.
Yusuke TakeiDepartment of Cardiovascular Surgery, Japanese RedCross Maebashi Hospital, Gunma, Japan.
Toshiyuki KuwataDepartment of Cardiovascular Surgery, Japanese RedCross Maebashi Hospital, Gunma, Japan.
Yuta KanazawDepartment of Cardiac and Vascular Surgery, Dokkyo Medical University School of Medicine, 880 Kitakobayashi, Mibu, Tochigi, Shimotsugagun, 321-0293, Japan.
Takashi KatoDepartment of Cardiac and Vascular Surgery, Dokkyo Medical University School of Medicine, 880 Kitakobayashi, Mibu, Tochigi, Shimotsugagun, 321-0293, Japan.
Go TsuchiyaDepartment of Cardiac and Vascular Surgery, Dokkyo Medical University School of Medicine, 880 Kitakobayashi, Mibu, Tochigi, Shimotsugagun, 321-0293, Japan.
Hironaga OgawaDepartment of Cardiac and Vascular Surgery, Dokkyo Medical University School of Medicine, 880 Kitakobayashi, Mibu, Tochigi, Shimotsugagun, 321-0293, Japan.
Hirotsugu FukudaDepartment of Cardiac and Vascular Surgery, Dokkyo Medical University School of Medicine, 880 Kitakobayashi, Mibu, Tochigi, Shimotsugagun, 321-0293, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe simple patch closure technique is an alternative method for repairing ventricular septal rupture following myocardial infarction. This single-center study aimed to investigate the outcomes of ventricular septal rupture repair.

methodsThis retrospective study included 23 patients who underwent initial surgery using the simple patch-closure technique between January 2009 and August 2024. Three primary endpoints were established: the rupture recurrence rate, in-hospital mortality rate, and mid-term survival rate. Survival curves were constructed using the Kaplan-Meier method.

resultsThe mean patient age was 71.0 years, and 13 patients were male. Intraoperative transesophageal echocardiography detected no residual shunts; however, five (21.7%) patients experienced rupture recurrence at a median of 21 (range, 12-150) days postoperatively, all requiring reoperation. The hospital mortality rate was 8.7%, with one death each in the early and late surgery groups. The 60 month survival rate was 75.7% over a median follow-up period of 36 months (range: 4-149 months).

conclusionThe simple patch closure technique is safe and effective for ventricular septal rupture repair, even in early surgery; however, recurrence remains a challenge. Preventive measures, such as bovine pericardial patches and the double-patch technique for extensive infarctions, warrant further validation through larger studies with longer follow-up periods.

Indexed as

Cardiac Surgical ProceduresMyocardial InfarctionVentricular Septal RuptureAgedAged, 80 and overEchocardiography, TransesophagealFemaleFollow-Up StudiesHospital MortalityHumansMaleMiddle AgedRecurrenceRetrospective StudiesSurvival RateTime FactorsImpellaIntra-aortic balloon pumpingPercutaneous cardiopulmonary supportSimple patch closure techniqueVentricular septal rupture

Identifiers

PMID40593319

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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.