Use of initial biventricular mechanical support in a case of postinfarction ventricular septal rupture as a bridge to surgery

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Use of initial biventricular mechanical support in a case of postinfarction ventricular septal rupture as a bridge to surgery. / Conradi, Lenard; Treede, Hendrik; Brickwedel, Jens; Reichenspurner, Hermann.

In: ANN THORAC SURG, Vol. 87, No. 5, 05.2009, p. 37-39.

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@article{78922c368693486aaef88009295c843b,
title = "Use of initial biventricular mechanical support in a case of postinfarction ventricular septal rupture as a bridge to surgery",
abstract = "The incidence of postinfarction ventricular septal rupture is declining as coronary revascularization techniques have become available for a large number of patients. However, morbidity and mortality rates associated with this complication remain high. We report the case of a patient suffering from acute myocardial infarction who developed a postinfarction ventricular septal defect. Instead of attempting surgical closure, he was placed on biventricular mechanical support. After 2 weeks, surgical closure of the defect and concomitant explantation of the assist device were successfully performed. This approach may represent a new treatment option restoring hemodynamic stability and avoiding surgery on freshly infarcted myocardium.",
keywords = "Angina, Unstable/complications, Echocardiography, Echocardiography, Transesophageal, Heart Rupture, Post-Infarction/complications, Heart-Assist Devices, Humans, Male, Middle Aged, Myocardial Infarction/complications, Treatment Outcome, Ventricular Septal Rupture/etiology",
author = "Lenard Conradi and Hendrik Treede and Jens Brickwedel and Hermann Reichenspurner",
year = "2009",
month = may,
doi = "10.1016/j.athoracsur.2009.01.046",
language = "English",
volume = "87",
pages = "37--39",
journal = "ANN THORAC SURG",
issn = "0003-4975",
publisher = "Elsevier USA",
number = "5",

}

RIS

TY - JOUR

T1 - Use of initial biventricular mechanical support in a case of postinfarction ventricular septal rupture as a bridge to surgery

AU - Conradi, Lenard

AU - Treede, Hendrik

AU - Brickwedel, Jens

AU - Reichenspurner, Hermann

PY - 2009/5

Y1 - 2009/5

N2 - The incidence of postinfarction ventricular septal rupture is declining as coronary revascularization techniques have become available for a large number of patients. However, morbidity and mortality rates associated with this complication remain high. We report the case of a patient suffering from acute myocardial infarction who developed a postinfarction ventricular septal defect. Instead of attempting surgical closure, he was placed on biventricular mechanical support. After 2 weeks, surgical closure of the defect and concomitant explantation of the assist device were successfully performed. This approach may represent a new treatment option restoring hemodynamic stability and avoiding surgery on freshly infarcted myocardium.

AB - The incidence of postinfarction ventricular septal rupture is declining as coronary revascularization techniques have become available for a large number of patients. However, morbidity and mortality rates associated with this complication remain high. We report the case of a patient suffering from acute myocardial infarction who developed a postinfarction ventricular septal defect. Instead of attempting surgical closure, he was placed on biventricular mechanical support. After 2 weeks, surgical closure of the defect and concomitant explantation of the assist device were successfully performed. This approach may represent a new treatment option restoring hemodynamic stability and avoiding surgery on freshly infarcted myocardium.

KW - Angina, Unstable/complications

KW - Echocardiography

KW - Echocardiography, Transesophageal

KW - Heart Rupture, Post-Infarction/complications

KW - Heart-Assist Devices

KW - Humans

KW - Male

KW - Middle Aged

KW - Myocardial Infarction/complications

KW - Treatment Outcome

KW - Ventricular Septal Rupture/etiology

U2 - 10.1016/j.athoracsur.2009.01.046

DO - 10.1016/j.athoracsur.2009.01.046

M3 - SCORING: Journal article

C2 - 19379852

VL - 87

SP - 37

EP - 39

JO - ANN THORAC SURG

JF - ANN THORAC SURG

SN - 0003-4975

IS - 5

ER -