Concomitant surgical revascularization in post-infarction ventricular
septal rupture and ventricular aneurysm repair: a straightforward
indication or a prognostic factor?
The potential benefit of concomitant surgical revascularization
represents a controversial topic of the surgical treatment of
post-infarction ventricular septal rupture (VSR). Beliaev and colleagues
presented a case series interestingly focusing on this issue and showed
how the possibility to perform coronary artery bypass grafting at time
of VSR repair was associatd with better early and late mortality and
improved cardiac function. However, a few more aspects deserve further
comments in this controversial topic, especially considering late
survival and postoperative cardiac function, although it seems
reasonable to conclude that the presence of coronary artery disease not
amenable to revascularization represents a strong negative prognostic
factor in surgically treated VSR patients.