Extracorporeal membrane oxygenation as a temporizing approach in a patient with shock, myocardial infarct, and a large ventricle septal defect; successful repair after six days.
Rupture of the ventricular septum occurs in 1% to 2% of all acute myocardial infarctions (MI) requiring surgical intervention in the majority of cases. Furthermore, patch dehiscence and residual shunt are major problems following repair in the acute stage. A delay in repair may prevent patch dehiscence. We now describe the technique used for a successful repair of a ruptured ventricular septal defect following six days of extracorporeal membrane oxygenation support.
Department of Cardiovascular and Thoracic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10467, USA. sneragi@yahoo.com
Siyamek
S
Neragi-Miandoab
Robert E
RE
Michler
Daniel
D
Goldstein
David
D
D'Alessandro
D015199:Extracorporeal Membrane Oxygenation; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D012770:Shock, Cardiogenic / Q000150:complications; D014463:Ultrasonography; D018658:Ventricular Septal Rupture / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery / Q000628:therapy*