scholarly journals Gaining Valuable Time: Elective Use of Extracorporeal Membrane Oxygenation in the Awake Patient as Bridge to Surgery in Acute Postinfarction Ventricular Septal Defect

2017 ◽  
Vol 65 (S 01) ◽  
pp. S1-S110
Author(s):  
A. Zientara ◽  
O. Dzemali ◽  
D. Odavic ◽  
A. Häussler ◽  
R. Behr ◽  
...  
2020 ◽  
Vol 31 (5) ◽  
pp. 727-728
Author(s):  
Hidenobu Takaki ◽  
Kenichi Hashizume ◽  
Tadashi Matsuoka ◽  
Koki Ikebata

Abstract A 73-year-old man with an acute myocardial infarction experienced severe cardiogenic shock due to an inferior ventricular septal rupture with a massive left-to-right shunt. Emergency surgery was considered a too high mortality risk. The patient was implanted with an extracorporeal membrane oxygenation system as a bridge to surgery. On the seventh day after admission, the ventricular septal defect was successfully repaired. Our case study demonstrates that extracorporeal membrane oxygenation could be an option in cases of ventricular septal rupture as a bridge for stabilizing patients.


Author(s):  
Eilon Ram ◽  
Alexander Kogan ◽  
Boris Orlov ◽  
Ehud Raanani ◽  
Leonid Sternik

The mortality rate after the development of ventricular septal defect (VSD) remains high despite progress in pharmaceutical therapy, invasive cardiology, and surgical techniques. Although early surgical repair of postinfarction VSD is associated with a high mortality rate, in hemodynamic unstable patients surgery cannot always be postponed and surgical repair may be required urgently. We present two cases of patients diagnosed with postinfarction VSD who were in cardiogenic shock with multiorgan failure despite optimal treatment. They were therefore connected to venoarterial extracorporeal membrane oxygenation as a bridge to reparative surgery.


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