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Beating-heart approach and moderately delayed surgical management of postinfarction ventricular septal rupture: an advisable approach to improve results?

^a Department of Cardiovascular Surgery, Hôpital Nord, Saint-Etienne, France
^b Department of Cardiovascular Surgery, Hôpital Cardiologique, Lille, France

*Corresponding author: Service de Chirurgie Cardiovasculaire, Hôpital Nord-CHU, 42 055 Saint-Etienne, Cedex 02 France. Tel.: +00 33 (0)4 77 82 83 35; fax: +00 33 (0)4 77 82 84 53.

E-mail address: d.grandmougin{at}tiscali.fr (D. Grandmougin).

Early repair of postinfarction ventricular septal rupture is usually associated with significant mortality and morbidity. Assessing conditions to moderately delay the surgical intervention and reduce cardioplegic arrest may be an interesting approach to improve hospital results. Results of five non-selected patients in whom surgery was moderately delayed and performed according a policy of reducing the cardioplegic-induced ischemia were reviewed. Surgical options are discussed as well as observed advantages.

Key Words: Postinfarction ventricular septal rupture; IABP; Beating heart; Right atrial approach