Mechanical Circulatory Support as a Bridge to Definitive Surgical Repair After Post-Myocardial Infarct Ventricular Septal Defect

2015 ◽  
Vol 30 (6) ◽  
pp. 535-540 ◽  
Author(s):  
Reilly Hobbs ◽  
Varun Korutla ◽  
Yoshikazu Suzuki ◽  
Michael Acker ◽  
Prashanth Vallabhajosyula
Keyword(s):  
Ventricular Septal Defect ◽  
Mechanical Circulatory Support ◽  
Septal Defect ◽  
Surgical Repair ◽  
Myocardial Infarct ◽  
Circulatory Support

Újszülöttkorban és később végzett primer artériás switchműtétek eredményei egy újonnan létrehozott, átfogó congenitalis szívközpontban

2015 ◽  
Vol 156 (25) ◽  
pp. 1014-1019
Author(s):  
László Király ◽  
Csaba Tamás
Keyword(s):  
Ventricular Septal Defect ◽  
Mechanical Circulatory Support ◽  
Septal Defect ◽  
Arterial Switch Operation ◽  
Tertiary Care ◽  
Left Ventricular ◽  
Circulatory Support ◽  
Associated Anomalies ◽  
Arterial Switch ◽  
Transverse Arch

Introduction: Outcome of arterial switch operation for transposition of the great arteries with/without ventricular septal defect is a service key-performance-indicator. Aim: The aim of the authors was to assess patient characteristics and parameters in the perioperative course. Method: In the setting of a newly-established, comprehensive tertiary-care center, primary complete repair was performed including associated anomalies, e.g. transverse arch repairs. Patients with d-transposition were grouped according to coexistence of ventricular septal defect. Results: 118 arterial switch operations were performed between 2007 and 2014 with 96.62% survival (114/118). Ventricular septal defect and repair of associated anomalies did not yield worse outcome. Left ventricular re-training with late presentation necessitated mechanical circulatory support for 4.5±1.5 days. Conclusions: D-transposition is suitable for standardization of clinical algorithm and surgical technique. Quality standards contribute to excellent outcomes, minimize complications, and serve as blueprint for other neonatal open-heart procedures. Availability of mechanical circulatory support is key for single-stage left ventricular re-training beyond the neonatal period. Orv. Hetil., 2015, 156(25), 1014–1019.

scholarly journals Post-Myocardial Infarction Ventricular Septal Defect Six Months following Coronary Artery Bypass Grafting

2017 ◽  
Vol 20 (4) ◽  
pp. 162
Author(s):  
Amy G Fiedler ◽  
Thoralf M. Sundt III ◽  
George Tolis
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Ventricular Septal Defect ◽  
Coronary Artery Bypass ◽  
Mechanical Circulatory Support ◽  
Septal Defect ◽  
Artery Bypass ◽  
Circulatory Support ◽  
Bypass Grafting

Mechanical complications following acute myocardial infarction are associated with high mortality. We present the first reported case of a new post myocardial infarction ventricular septal defect (VSD) within six months of coronary artery bypass grafting. The patient underwent successful surgical correction of the VSD with the assistance of mechanical circulatory support (MCS). This case highlights the importance of mechanical circulatory support in the management of cardiogenic shock associated with rare complications of myocardial infarction, even after surgical revascularization.

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