[Surgical treatment of early complications after ST-elevation XXXX ].

@entity1 @entity7086 @entity296 @entity101 @entity39 @entity1188 @entity583
@entity7086 is a fatal complication of @entity583 that may involve especially the left ventricular free wall, the ventricular septum and the papillary muscle, but also the right ventricular free wall and more rarely the atrium. This complication is responsible for 10-15% of in-hospital deaths after ST-elevation @entity583 . Advanced age, female sex, first @entity1188 and @entity101 (in the acute phase of @entity1188 ) are the most important risk factors for @entity7086 . It occurs typically between 4 and 7 days after the @entity1188 but it may also develop within the first 24-48h, particularly in @entity1 undergoing fibrinolytic therapy and in cardiac @entity1 with the following characteristics: 1) recent coronary artery occlusion, 2) transmural @entity39 , 3) poor collateral circulation, and 4) minimal or absent @entity296 . @entity7086 should be suspected when sudden or rapidly progressive hemodynamic deterioration occurs. After prompt diagnosis and stabilization, the @entity1 can be operated. The high mortality rate between 5 and 14 days post- @entity1188 justifies the urgency of surgical repair, which includes infartectomy and the employment of a Dacron patch and biological glues. Also percutaneous strategies have recently been used in @entity1 with high surgical risk. The most frequently performed surgical techniques for the treatment of @entity7086 are described below. By now early diagnosis and surgical treatment are crucial for successful outcome.
