Extracorporeal Life Support as a Bridge to Surgery of Acute Ventricular Septal Defect

Background  Postinfarction ventricular septal defect (VSD) is a rare but life-threatening complication of acute myocardial infarction (AMI). Surgery represents the treatment of choice. But the optimal timing for surgery is still under debate. Case Description  Here, we present the case of a 70-year-...

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Autores principales: Tulun, Aysun, Panholzer, Bernd, Cremer, Joachim, Haneya, Assad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2020
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7500972/
https://www.ncbi.nlm.nih.gov/pubmed/32963932
http://dx.doi.org/10.1055/s-0040-1714074
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author Tulun, Aysun
Panholzer, Bernd
Cremer, Joachim
Haneya, Assad
author_facet Tulun, Aysun
Panholzer, Bernd
Cremer, Joachim
Haneya, Assad
author_sort Tulun, Aysun
collection PubMed
description Background  Postinfarction ventricular septal defect (VSD) is a rare but life-threatening complication of acute myocardial infarction (AMI). Surgery represents the treatment of choice. But the optimal timing for surgery is still under debate. Case Description  Here, we present the case of a 70-year-old female patient with an anterior postinfarction VSD leading to cardiogenic shock for whom we used a percutaneous implantation of an extracorporeal life support (ECLS) as a bridge to surgery. After 10 days of ECLS therapy, surgical VSD repair was successfully performed. Conclusion  The strategy of delayed surgery may be a reasonable solution in selected patients with VSD complicating AMI.
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spelling pubmed-75009722020-09-21 Extracorporeal Life Support as a Bridge to Surgery of Acute Ventricular Septal Defect Tulun, Aysun Panholzer, Bernd Cremer, Joachim Haneya, Assad Thorac Cardiovasc Surg Rep Background  Postinfarction ventricular septal defect (VSD) is a rare but life-threatening complication of acute myocardial infarction (AMI). Surgery represents the treatment of choice. But the optimal timing for surgery is still under debate. Case Description  Here, we present the case of a 70-year-old female patient with an anterior postinfarction VSD leading to cardiogenic shock for whom we used a percutaneous implantation of an extracorporeal life support (ECLS) as a bridge to surgery. After 10 days of ECLS therapy, surgical VSD repair was successfully performed. Conclusion  The strategy of delayed surgery may be a reasonable solution in selected patients with VSD complicating AMI. Georg Thieme Verlag KG 2020-01 2020-09-18 /pmc/articles/PMC7500972/ /pubmed/32963932 http://dx.doi.org/10.1055/s-0040-1714074 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ). https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Tulun, Aysun
Panholzer, Bernd
Cremer, Joachim
Haneya, Assad
Extracorporeal Life Support as a Bridge to Surgery of Acute Ventricular Septal Defect
title Extracorporeal Life Support as a Bridge to Surgery of Acute Ventricular Septal Defect
title_full Extracorporeal Life Support as a Bridge to Surgery of Acute Ventricular Septal Defect
title_fullStr Extracorporeal Life Support as a Bridge to Surgery of Acute Ventricular Septal Defect
title_full_unstemmed Extracorporeal Life Support as a Bridge to Surgery of Acute Ventricular Septal Defect
title_short Extracorporeal Life Support as a Bridge to Surgery of Acute Ventricular Septal Defect
title_sort extracorporeal life support as a bridge to surgery of acute ventricular septal defect
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7500972/
https://www.ncbi.nlm.nih.gov/pubmed/32963932
http://dx.doi.org/10.1055/s-0040-1714074
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AT cremerjoachim extracorporeallifesupportasabridgetosurgeryofacuteventricularseptaldefect
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