Management of left ventricular free wall rupture under extracorporeal membrane oxygenation support.
This is a case report of a patient with left ventricular free wall rupture after acute myocardial infarction that was managed successfully with the use of an extracorporeal membrane oxygenation circuit for resuscitation, surgical repair and postoperative circulatory support. Conversion to conventional cardiopulmonary bypass for surgical repair was avoided. Decompression of the left ventricle during the postoperative period promotes myocardial recovery and leads to improved fixation of surgical repair.
Anastasiadis
Kyriakos
K
Department of Thoracic and Cardiovascular Surgery, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, Greece.
Antonitsis
Polychronis
P
Hadjimiltiades
Stavros
S
Karapanagiotidis
Georgios
G
Foroulis
Christophoros
C
Argiriadou
Helena
H
Papakonstantinou
Christos
C
D006348:Cardiac Surgical Procedures; D003422:Critical Care; D015199:Extracorporeal Membrane Oxygenation; D006342:Heart Rupture, Post-Infarction / Q000503:physiopathology / Q000601:surgery*; D006352:Heart Ventricles / Q000293:injuries / Q000601:surgery; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D016896:Treatment Outcome; D016277:Ventricular Function, Left