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.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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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 -