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

Authors
  • Artemiou, Panagiotis1
  • Gasparovic, Ivo1
  • Bezak, Branislav1
  • Hudec, Vladan1
  • Glonek, Ivan1
  • Hulman, Michal1
  • 1 Department of Cardiac Surgery, Clinic of Cardiac Surgery, National Institute of Cardiovascular Diseases, Medical Faculty of the Comenius University, Bratislava, Slovakia. , (Slovakia)
Type
Published Article
Journal
Journal of Cardiac Surgery
Publisher
Wiley (Blackwell Publishing)
Publication Date
Dec 01, 2020
Volume
35
Issue
12
Pages
3626–3630
Identifiers
DOI: 10.1111/jocs.15086
PMID: 33029805
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The mortality rate after the development of postinfarction ventricular septal defect (VSD) remains high, despite progress in pharmacologic therapy, invasive cardiology, and surgical techniques. We present three cases of preoperative venoarterial extracorporeal membrane oxygenation as a bridge to reparative surgical repair in patients with cardiogenic shock who would otherwise require emergent cardiac surgery with an associated risk. Two patients were discharged, whereas the third patient died due to pulmonary artery rupture after a right ventricular assist device implantation, despite the fact that he had a successful bridge to reparative surgery and VSD repair. Finally, a review of the current literature concerning the use of preoperative venoarterial extracorporeal membrane oxygenation as a bridge to reparative surgery is provided. © 2020 Wiley Periodicals LLC.

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