Surgical management of papillary muscle rupture due to myocardial infarction

Autor: Gerbode, Frank L.A., Hetzer, Roland, Krebber, Hans J.
Zdroj: World Journal of Surgery; November 1978, Vol. 2 Issue: 6 p791-796, 6p
Abstrakt: Complete or partial rupture of a papillary muscle following myocardial infarction is a severe complication that, without surgical intervention, results in a mortality rate of 95%. Of 41 patients with papillary muscle rupture who were treated surgically, the overall operative mortality rate was 48%, with an 87% mortality rate in 13 patients who entered the hospital in critical condition within 1 month after myocardial infarction. There was an operative mortality rate of 50% in the second month and 33% in the third month following myocardial infarction. Of the patients who underwent operation more than 4 months after infarction, 73% survived. Of 51 patients operated upon for ruptured chordae tendineae of the posterior leaflet of the mitral valve, there were only 2 early and 3 cardiac-related late deaths. Of these 51 patients, 43 are currently virtually asymptomatic.
Databáze: Supplemental Index