ArticleFrontiers in cardiovascular medicine2025
Post-infarction ventricular septal defect repair: cardioplegic arrest vs. on-pump beating-heart strategy-ten years of experience.
Article in Frontiers in cardiovascular medicine, 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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Abstract
Background: Post-infarction ventricular septal defect (VSD) repair is in general performed on a cardioplegic heart. An alternative concept is VSD repair on a beating heart. Aim of the study was to identify possible differences in survival between the two strategies. Methods: The study was a retrospective, observational, single-centre cohort study of data from all patients who underwent post-infarction VSD repair at our institution between May 2012 and December 2022. VSD repair was performed either on an arrested heart with aortic cross-clamping [ Results: Forty six consecutive patients underwent repair of post-infarction VSD (28 in the " Conclusions: The modified surgical approach performing VSD-repair on a beating heart was associated with a lower risk of postoperative death than the conventional surgical strategy.
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