Key result
Extracorporeal membrane oxygenation was used as a bridge to surgical repair in 3 patients with post-myocardial infarct ventricular septal defect and multisystem organ failure.
Why the study?
Does extracorporeal membrane oxygenation (ECMO) serve as an effective bridge to surgical repair in patients with post-myocardial infarction ventricular septal defect and multisystem organ failure?
Case Report (n=3)
Does extracorporeal membrane oxygenation (ECMO) serve as an effective bridge to surgical repair in patients with post-myocardial infarction ventricular septal defect and multisystem organ failure?
ECMO may serve as a viable bridge to definitive surgical repair in high-risk patients with post-MI VSD and multisystem organ failure, potentially mitigating the high mortality associated with emergent surgery.
ECMO may bridge select post-MI VSD cases to repair; case reports leave open prospective validation.
Ventricular septal defect (VSD) after myocardial infarction (MI) is an uncommon but serious complication. Patients refractory to attempts at medical stabilization and requiring emergency surgery have expected mortality rates greater than 50%. We present three cases of extracorporeal membrane oxygenation bridge to surgical repair in patients with multisystem organ failure who would otherwise require emergent cardiac surgery with associated risk and review the literature for mechanical circulatory support for patients with anterior and posterior post-MI VSD.
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Hobbs et al. (2015) conducted a case report in Post-Myocardial Infarct Ventricular Septal Defect (n=3). Extracorporeal membrane oxygenation (ECMO) was evaluated. Extracorporeal membrane oxygenation was used as a bridge to surgical repair in 3 patients with post-myocardial infarct ventricular septal defect and multisystem organ failure.
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