The effectiveness of extracorporeal membrane oxygenation in a patient with post myocardial infarct ventricular septal defect

被引：13
|
作者：
Kwon, Jintae [1 ]
Lee, Donghyup [2 ]
机构：
[1] Bundang Jesaeng Hosp, Dept Thorac & Cardiovasc Surg, Songnam, South Korea
[2] Yeungnam Univ Hosp, Dept Thorac & Cardiovasc Surg, 317-1 Daemyung 5 Dong, Namgu, Daegu, South Korea
来源：
JOURNAL OF CARDIOTHORACIC SURGERY | 2016年 / 11卷
关键词：
Post infarction ventricular septal defect; Extracorporeal membrane oxygenation; Cardiogenic shock; SURGICAL REPAIR; OUTCOMES;
D O I：
10.1186/s13019-016-0537-5
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Background: Post infarction ventricular septal defect (VSD) is an uncommon but life threatening complication of acute myocardial infarction. Case presentation: A 62-year-old woman was admitted with acute myocardial infarction (AMI). However, the day after angioplasty and stenting, Transthoracic echocardiography (TTE) showed post infarction VSD. We decided to insert an extracorporeal membrane oxygenation (ECMO) device for stabilization purposes before surgical repair. After 4 days from the implantation, we performed surgical repair successfully. Conclusions: When optimal medical treatment fails to stabilize a patient in cardiogenic shock, peripheral ECMO could be used as a bridge to definitive surgical therapy.
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页数：4
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