<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992020000400281</article-id>
<article-id pub-id-type="doi">10.35366/101397</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tratamiento quirúrgico de la ruptura septal ventricular postinfarto]]></article-title>
<article-title xml:lang="en"><![CDATA[Surgical treatment of postinfarction ventricular septal rupture]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Meneses]]></surname>
<given-names><![CDATA[Silvia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meza-López]]></surname>
<given-names><![CDATA[Luis Raúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Olvera-Lozano]]></surname>
<given-names><![CDATA[Jorge Tizoc]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Díaz]]></surname>
<given-names><![CDATA[Belinda Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional Siglo XXI Hospital de Cardiología]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales para los Trabajadores del Estado Hospital Regional de Alta Especialidad &#8220;Bicentenario de la Independencia&#8221; Departamento de Cirugía Cardiovascular]]></institution>
<addr-line><![CDATA[ Estado de México]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Centro Médico Nacional Siglo XXI Hospital de Cardiología]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>42</volume>
<numero>4</numero>
<fpage>281</fpage>
<lpage>287</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992020000400281&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992020000400281&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992020000400281&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La ruptura postinfarto del septum ventricular es una complicación mecánica del infarto agudo al miocardio, con alta mortalidad; pero la evolución de las técnicas en quirófano ha llevado a su reparación temprana con mejores resultados.  Objetivo:  Describir la experiencia quirúrgica en la rotura septal ventricular postinfarto en pacientes del Hospital de Cardiología, Centro Médico Nacional Siglo XXI.  Métodos:  Estudio descriptivo, retrolectivo, observacional, serie de casos. Datos recabados de expedientes que cumplieron los criterios de inclusión.  Resultados:  Del 1o de enero de 1999 al 30 de abril de 2015 se registraron 49 enfermos que fueron sometidos a restauración mediante cirugía, sólo 27 cumplieron con los criterios de inclusión: 15 hombres y 12 mujeres, edad promedio 62 años, mortalidad general 63%. De los sobrevivientes, 50% presentaron defecto residual septal del ventrículo: un paciente fue llevado a reoperación para corrección total y el resto de los enfermos continúa en seguimiento.  Conclusiones:  Los mejores resultados quirúrgicos se obtuvieron en aquellos sujetados a reconstrucción de la rotura del septum ventricular postinfarto luego de dos semanas del diagnóstico del infarto agudo al miocardio, encontrándose en clase funcional I y II de la New York Heart Association. En cuanto a la sobrevida, los participantes que se sometieron a reparación con parche simple presentaron menor incidencia de desperfectos residuales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Postinfarction ventricular septal rupture is a high mortality complication of myocardial infarction; but the evolution of surgical techniques has led to early repair with better results.  Objective:  To describe the surgical experience in patients with postinfarction ventricular septal rupture at the Cardiology Hospital of CMN SXXI.  Methods:  A retrospective, observational case series study was conducted. Collected data records that met the inclusion criteria were considered.  Results:  From January first, 1999, to April 30, 2015, 49 patients who underwent surgical repair were registered, only 27 met the inclusion criteria: 15 men and 12 women. Mean age was 62 years old, with 63% overall mortality. Of surviving patients, 50% presented a residual ventricular septal defect: one patient underwent reoperation for total correction, and the remaining continued on follow up.  Conclusions:  The best surgical outcomes were obtained in patients undergoing repair after two weeks of diagnosis of myocardial infarction, being in functional class I and II of the New York Heart Association. As to survival, patients who underwent simple patch repair had lower incidence of residual defects.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Infarto agudo al miocardio]]></kwd>
<kwd lng="es"><![CDATA[ruptura septal ventricular postinfarto]]></kwd>
<kwd lng="es"><![CDATA[procedimiento quirúrgico]]></kwd>
<kwd lng="en"><![CDATA[Myocardial infarction]]></kwd>
<kwd lng="en"><![CDATA[ventricular septal rupture]]></kwd>
<kwd lng="en"><![CDATA[surgical procedure]]></kwd>
</kwd-group>
</article-meta>
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