Baseline Characteristic
A total of 112 cases were included in the study. (Table 1) There were 66 males and 46 females, with a mean age of 63.0±8.2 years. The medical history revealed hypertension in 68 patients (60.1%), smoking history in 45 (40.2%), and diabetes mellitus in 39 (34.8%). The site of the infarction was anterior in 86 patients (76.8%) and posterior in 26 patients (23.2%). The ruptures located at anterior septum in 8 patients (7.1%), posterior septum in 23 patients (20.5%), and cardiac apex in 81 patients (72.3%). (Table 2)
Thrombolysis was performed in 15 cases (13.4%), and acute PCI was performed in 30 cases (26.8%). Time from AMI to the onset of VSR was a median of 4 days, while the time from VSR to surgical intervention was a median of 53.5 days. Acute renal injury was present in 22 patients defined as creatinine value greater than 200 mmol/L. None of the patients had a preoperative chronic renal failure that could confound this definition. All patients except 5 patients had significant coronary lesions revealed by angiography. For the whole cohort, the frequency of 1-, 2-, and 3-vessel disease was not different.