Abstract
Objectives: Post-infarction ventricular septal defect (VSD) is one of the known complications after acute myocardial infarction. This study investigated the clinical results after surgical repair of VSD. Methods: This retrospective study included all patients undergoing surgical repair of VSD from 1996 to 2020 in Oman. Results: Out of a total of 75 patients, 62.5% were men, with a mean age of 59 years. The mean follow-up was 17.2 (7.5) years. Of the 75 patients, 34 (45.3%) patients died within 30 days. Total survival was 41.3% at 5 years, while the 10-year survival rate was 33.3%. Outcomes and predictors for 30 days mortality were the number of concomitant coronary involvement and anastomoses performed, residual postoperative shunt and postoperative dialysis. Conclusion: Even with surgical repair, early mortality of post-infarction septal defect is still considerably high. Early repair and the anatomically posterior rupture are predictors of early mortality. In patients surviving the immediate postoperative period, long-term survival is limited by pre-existing coronary artery disease, postoperative renal failure and the presence of a residual postoperative shunt.
Publication details
- DOI
- 10.18295/squmj.12.2023.076
- Journal
- Sultan Qaboos University Medical Journal, 23(5), 22-30
- Publisher
- Sultan Qaboos University
- Open access
- Gold open access
- License
- CC BY-ND 4.0
Cite this article
APA 7
Al-Bulushi, A., Al Salmi, I., Ahmed, A. R., & Al Rahbi, F. (2025). Post-Infarction Ventricular Septal Defect: A quarter century experience. Sultan Qaboos University Medical Journal, 23(5), 22-30. https://doi.org/10.18295/squmj.12.2023.076
MLA 9
Al-Bulushi, Ahmed, et al. "Post-Infarction Ventricular Septal Defect: A quarter century experience." Sultan Qaboos University Medical Journal, vol. 23, no. 5, 2025, pp. 22-30. https://doi.org/10.18295/squmj.12.2023.076.
Chicago (author–date)
Al-Bulushi, Ahmed, Issa Al Salmi, Ahmed Ramadan Ahmed, and Fatma Al Rahbi. 2025. "Post-Infarction Ventricular Septal Defect: A quarter century experience." Sultan Qaboos University Medical Journal 23 (5): 22-30. https://doi.org/10.18295/squmj.12.2023.076.
Harvard
Al-Bulushi, A., Al Salmi, I., Ahmed, A. R. and Al Rahbi, F. (2025) 'Post-Infarction Ventricular Septal Defect: A quarter century experience', Sultan Qaboos University Medical Journal, 23(5), pp. 22-30. doi:10.18295/squmj.12.2023.076.
Vancouver
Al-Bulushi A, Al Salmi I, Ahmed AR, Al Rahbi F. Post-Infarction Ventricular Septal Defect: A quarter century experience. Sultan Qaboos University Medical Journal. 2025;23(5):22-30. doi:10.18295/squmj.12.2023.076
IEEE
A. Al-Bulushi, I. Al Salmi, A. R. Ahmed, and F. Al Rahbi, "Post-Infarction Ventricular Septal Defect: A quarter century experience," Sultan Qaboos University Medical Journal, vol. 23, no. 5, pp. 22-30, 2025, doi: 10.18295/squmj.12.2023.076.