BACKGROUND: Postinfarction @entity9009 requires urgent closure. The role of systematic coronarography and coronary revascularization needs clarification. METHODS: Fifty-four @entity1 who underwent patch closure of postinfarction @entity1757 were reviewed. A coronarography had been systematically and myocardial revascularization selectively (when significant @entity3979 existed) performed. RESULTS: No @entity1 died or deteriorated during coronarography. Twenty-six @entity1 showed no @entity453 besides the @entity1188 , and 28 had associated disease. Threatened myocardial territories were revascularized usually with venous grafts (mean number of distal anastomosis, 2.5). Operative mortality was 19% and 32% (p = 0.36) and late mortality 43% and 53% (p = 0.75) in @entity1 without and in @entity1 with associated @entity453 , respectively. Survival curve in both group was similar, at least up to 8 years after operation. CONCLUSIONS: Myocardial revascularization controlled the added risk of associated @entity453 in the postoperative period and in median term. A coronarography should be performed in all @entity1 who can be stabilized hemodynamically and myocardial revascularization performed in case of significant @entity850 .

Role of myocardial revascularization in postinfarction XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity9009 :: ('MESH:D018658', 'Disease') :: ['ventricular septal rupture'] @entity1757 :: ('MESH:D006345', 'Disease') :: ['ventricular septal defect'] @entity3979 :: ('MESH:D023921', 'Disease') :: ['coronary artery stenosis'] @entity1188 :: ('MESH:D007238', 'Disease') :: ['infarct-related artery'] @entity453 :: ('MESH:D003324', 'Disease') :: ['coronary artery disease'] @entity850 :: ('MESH:D003251', 'Disease') :: ['stenosis']
@entity9009 :: (MESH:D018658,Disease) :: ['ventricular septal rupture']
