Why the study?
Does extracorporeal membrane oxygenation support as a temporizing approach allow for successful repair of a ruptured ventricular septal defect in a patient with shock and myocardial infarction?
Does extracorporeal membrane oxygenation support as a temporizing approach allow for successful repair of a ruptured ventricular septal defect in a patient with shock and myocardial infarction?
ECMO can serve as an effective temporizing bridge to delayed surgical repair of post-MI ventricular septal rupture, potentially reducing the risk of patch dehiscence.
Hypothesis-generating for ECMO bridging to delayed post-MI VSR repair; larger studies needed before practice change.
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.
No takes yet. Share an insight, caveat, or question.
Neragi-Miandoab et al. (2013) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: