Why the study?
Does extracorporeal membrane oxygenation support serve as a successful bridge to recovery in a patient with a large infarct-induced ventricular septal defect?
Does extracorporeal membrane oxygenation support serve as a successful bridge to recovery in a patient with a large infarct-induced ventricular septal defect?
ECMO can serve as an effective bridge to recovery for critically ill patients with infarct-induced ventricular septal defects.
Supports ECMO as potential bridge to recovery in postinfarct VSD; hypothesis-generating and should not yet change practice.
Rupture of the ventricular septum during acute myocardial infarction usually occurs within the first week. The event is usually followed by low cardiac output, heart failure, and multiorgan failure. Despite the many advances in the nonoperative treatment of heart failure and cardiogenic shock, including the intra-aortic balloon pump and a multitude of new inotropic agents and vasodilators, these do not supplant the need for operative intervention in these critically ill patients. This article describes the successful use of extracorporeal membrane oxygenation support as a bridge to recovery postoperatively in a patient with a large infarct-produced ventricular septal defect.
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Jacob et al. (2016) studied this question.
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