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  1. Dokkyo Medical Journal
  2. 1(3) 2022

Timing of Surgery under Mechanical Circulatory Support for Ventricular Septal Rupture Due to Acute Myocardial Infarction

https://dmu.repo.nii.ac.jp/records/5264
https://dmu.repo.nii.ac.jp/records/5264
cd5eaa9a-ae29-4f53-aa80-0716d766d9fb
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DKMJ-1-3-11.pdf DKMJ-1-3-Shibasaki-Fulltext (456.6 kB)
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Item type 学術雑誌論文 / Journal Article(1)
タイトル
タイトル Timing of Surgery under Mechanical Circulatory Support for Ventricular Septal Rupture Due to Acute Myocardial Infarction
言語
言語 eng
キーワード
主題Scheme Other
主題 Extracorporeal membrane oxygenation
キーワード
主題Scheme Other
主題 Impella
キーワード
主題Scheme Other
主題 intra-aortic balloon pumping
キーワード
主題Scheme Other
主題 myocardial infarction
キーワード
主題Scheme Other
主題 ventricular septal rupture
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 Shibasaki, Ikuko

× Shibasaki, Ikuko

en Shibasaki, Ikuko

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Ogawa, Hironaga

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en Ogawa, Hironaga

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Masawa, Taito

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en Masawa, Taito

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Takei, Yusuke

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en Takei, Yusuke

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Seki, Masahiro

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en Seki, Masahiro

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Kato, Takashi

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Saito, Shunsuke

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Kuwata, Toshiyuki

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Yamada, Yasuyuki

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Toyoda, Shigeru

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Fukuda, Hirotsugu

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著者所属
値 Department of Cardiac and Vascular Surgery, Dokkyo Medical University, Tochigi, Japan
著者所属
値 Department of Cardiac and Vascular Surgery, Dokkyo Medical University, Tochigi, Japan
著者所属
値 Department of Cardiovascular Medicine, Dokkyo Medical University, Tochigi, Japan
著者所属
値 Department of Cardiac and Vascular Surgery, Dokkyo Medical University, Tochigi, Japan
著者所属
値 Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Centre
著者所属
値 Department of Cardiovascular Surgery, Maebashi Red Cross Hospital
著者所属
値 Department of Cardiac and Vascular Surgery, Dokkyo Medical University, Tochigi, Japan
著者所属
値 Department of Cardiovascular Surgery, Maebashi Red Cross Hospital
著者所属
値 Department of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Centre
著者所属
値 Department of Cardiovascular Medicine, Dokkyo Medical University, Tochigi, Japan
著者所属
値 Department of Cardiac and Vascular Surgery, Dokkyo Medical University, Tochigi, Japan
書誌情報 Dokkyo Medical Journal

巻 1, 号 3, p. 235-246, 発行日 2022-09
抄録
内容記述タイプ Abstract
内容記述 The optimal timing of acute myocardial infarction-associated ventricular septal rupture surgery is controversial. Therefore, we examined the appropriateness of our ventricular septal rupture surgical strategy for early surgery in absence of organ failure and delayed surgery after organ failure recovery. We retrospectively included 22 patients who underwent surgery for ventricular septal rupture between January 2012 and February 2021. After diagnosis, patients without organ failure underwent early surgery; those with organ failure underwent delayed surgery after organ failure recovery. In the early- (n = 17) and delayed-surgery (n = 5) groups, the mean ± standard deviation time from diagnosis to surgery was 0.3 ± 0.7 (0-2) and 5.2 ± 2.3 (3-8) days, respectively. The early-surgery group was treated with preoperative mechanical circulatory support using an intra-aortic balloon pump. The delayed-surgery group was treated with an Impella (n = 1), intra-aortic balloon pump combined with venous artery extracorporeal membrane oxygenation (n = 1), and Impella combined with venous artery extracorporeal membrane oxygenation (ECpella) (n = 3). The hospital and mid-term (52.1 ± 42.9 months) mortality rates were 9.1% (early-surgery group, 11.8%; delayed-surgery group, 0%) and 18.2% (early-surgery group, 23.5%; delayed-surgery group, 0%), respectively. Further, 70.6% and 82.4% patients without organ failure had cardiogenic shock and an anterior rupture location, respectively. In the early-surgery group, combined treatment with an intra-aortic balloon pump and medical therapy yielded hemodynamic stability until surgery. However, in patients with organ failure requiring long-term management, ECpella therapy was preferable, depending on the rupture size. Our treatment strategy was reasonable. Further research is warranted to determine the optimal support duration, especially for patients requiring long-term management.
出版者
出版者 Dokkyo Medical Society
ISSN
収録物識別子タイプ ISSN
収録物識別子 2436-522X
DOI
識別子タイプ DOI
関連識別子 10.51040/dkmj.2022-031
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