Preoperative extracorporeal membrane oxygenation for postinfarction ventricular septal defect: Case series of three patients with a literature review

2020 ◽  
Vol 35 (12) ◽  
pp. 3626-3630 ◽  
Author(s):  
Panagiotis Artemiou ◽  
Ivo Gasparovic ◽  
Branislav Bezak ◽  
Vladan Hudec ◽  
Ivan Glonek ◽  
...  
Keyword(s):  
Literature Review ◽  
Ventricular Septal Defect ◽  
Extracorporeal Membrane Oxygenation ◽  
Septal Defect ◽  
Case Series ◽  
Membrane Oxygenation ◽  
Postinfarction Ventricular Septal Defect

scholarly journals Delayed Amplatzer Occluder Device Closure of Postinfarction Ventricular Septal Defect: A Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Francis Ting ◽  
Aditya Bhat ◽  
Neville Sammel ◽  
David Muller
Keyword(s):  
Ventricular Septal Defect ◽  
Survival Data ◽  
Septal Defect ◽  
Case Series ◽  
Medical Emergency ◽  
Amplatzer Occluder ◽  
Occluder Device ◽  
Postinfarction Ventricular Septal Defect ◽  
Amplatzer Occluder Device

Postinfarction ventricular septal defect (VSD) is a rare complication after acute myocardial infarction, with an incidence rate of 1-2% of all myocardial infarcts (Hutchins, 1979). It is a medical emergency with sobering survival numbers, having a mortality rate of 70–80% within two weeks of the incident event (Bouchart et al., 1998). Cardiac surgery is considered the gold standard in the management of these defects; however, its main limitation is that it carries a high risk of perioperative mortality and postoperative sequelae. Percutaneous transcatheter closure of VSD is a relatively new method of repair. Due to scarcity of reports in the literature, there is limited data regarding survival data; however, noninferiority to surgery has been demonstrated in one case series (Papalexopoulou et al., 2013). Long-term follow-up studies are lacking, and thus long-term mortality has yet to be discerned. We present a case of an 87-year-old female who, following postmyocardial infarction VSD, developed clinically significant heart failure. The patient was reluctant to undergo open repair given her age and comorbidities and she underwent successful percutaneous repair of her VSD using a 16 mm Amplatzer occluder device 18 months after her initial presentation.

scholarly journals Preoperative Extracorporeal Membrane Oxygenation for Postinfarction Ventricular Septal Defect

2019 ◽  
Vol 14 (1) ◽  
pp. 75-79 ◽  
Author(s):  
Eilon Ram ◽  
Alexander Kogan ◽  
Boris Orlov ◽  
Ehud Raanani ◽  
Leonid Sternik
Keyword(s):  
Mortality Rate ◽  
Ventricular Septal Defect ◽  
Extracorporeal Membrane Oxygenation ◽  
Septal Defect ◽  
Surgical Repair ◽  
Multiorgan Failure ◽  
Surgical Techniques ◽  
Membrane Oxygenation ◽  
Pharmaceutical Therapy ◽  
Invasive Cardiology

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.

Sign in / Sign up

Export Citation Format

Share Document