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World Journal of Surgery
Erschienen in: World Journal of Surgery 9/2004

01.09.2004 | Editorial Updates

Surgical Repair of Mechanical Complications of Myocardial Infarction

verfasst von: Malek G. Massad, M.D., Alexander S. Geha, M.D., M.S.

Erschienen in: World Journal of Surgery | Ausgabe 9/2004

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Abstract

Mechanical complications of acute myocardial infarction are estimated to account for 25,000 fatalities yearly in the United States. The diagnosis necessitates a high degree of clinical suspicion. Once recognized, prompt surgical intervention is necessary because if left untreated the condition frequently causes a fatal outcome. The main determinants of survival are the preoperative hemodynamic status of the patient, the presence of multisystem failure at presentation, and concomitant revascularization during repair of the defect. Because ischemic heart disease remains the leading cause of death in such patients following repair, coronary artery bypass should be considered and, whenever possible, performed in conjunction with repair of the postinfarct mechanical complication.
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Metadaten
Titel
Surgical Repair of Mechanical Complications of Myocardial Infarction
verfasst von
Malek G. Massad, M.D.
Alexander S. Geha, M.D., M.S.
Publikationsdatum
01.09.2004
Erschienen in
World Journal of Surgery / Ausgabe 9/2004
Print ISSN: 0364-2313
Elektronische ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-004-7595-x

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