Extracorporeal Membrane Oxygenation as a Bridge to Definite Surgery in Recurrent Postinfarction Ventricular Septal Defect

被引:24
|
作者
Tsai, Meng-Ta [1 ]
Wu, Hsuan-Yin [1 ]
Chan, Shih-Hung [2 ,3 ]
Luo, Chwan-Yau [1 ,4 ]
机构
[1] Natl Cheng Kung Univ Hosp, Dept Surg, Div Cardiovasc Surg, Tainan 704, Taiwan
[2] Natl Cheng Kung Univ Hosp, Dept Internal Med, Div Cardiol, Tainan 704, Taiwan
[3] Natl Cheng Kung Univ, Coll Med, Tainan 70101, Taiwan
[4] Natl Cheng Kung Univ, Cardiovasc Res Ctr, Tainan 70101, Taiwan
关键词
ASSIST DEVICE; SURGICAL REPAIR; RUPTURE; SUPPORT; PATIENT;
D O I
10.1097/MAT.0b013e3182392d65
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
A recurrent shunt after a postinfarction ventricular septal defect (PI-VSD) repair is common. We treated a case of cardiogenic shock caused by a large recurrent shunt after the patch repair of an apical PI-VSD with percutaneous extracorporeal membrane oxygenation (ECMO) for 4 days until a secondary definite repair. This suggests that percutaneous ECMO support is reliable before and after secondary definitive surgery in recurrent PI-VSD and may imply using a delayed surgical strategy with ECMO support to restore hemodynamic stability and avoid primary surgery on freshly fragile infarcted myocardium. ASAIO Journal 2012; 58:88-89.
引用
收藏
页码:88 / 89
页数:2
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