[
    {
        "id": "osp-10247",
        "type": "article-journal",
        "title": "Post-Infarction Ventricular Septal Defect: A quarter century experience",
        "author": [
            {
                "family": "Al-Bulushi",
                "given": "Ahmed"
            },
            {
                "family": "Al Salmi",
                "given": "Issa"
            },
            {
                "family": "Ahmed",
                "given": "Ahmed Ramadan"
            },
            {
                "family": "Al Rahbi",
                "given": "Fatma"
            }
        ],
        "URL": "https://omanscience.com/en/articles/post-infarction-ventricular-septal-defect-a-quarter-century-experience",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2025
                ]
            ]
        },
        "container-title": "Sultan Qaboos University Medical Journal",
        "volume": "23",
        "issue": "5",
        "page": "22-30",
        "DOI": "10.18295/squmj.12.2023.076",
        "publisher": "Sultan Qaboos University",
        "ISSN": "2075-051X",
        "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."
    }
]