Extracorporeal membrane oxygenation as a bridge to definite surgery in recurrent postinfarction ventricular septal defect

Meng Ta Tsai; Hsuan Yin Wu; Shih Hung Chan; Chwan Yau Luo

doi:10.1097/MAT.0b013e3182392d65

Extracorporeal membrane oxygenation as a bridge to definite surgery in recurrent postinfarction ventricular septal defect

Meng Ta Tsai, Hsuan Yin Wu, Shih Hung Chan, Chwan Yau Luo

Research output: Contribution to journal › Article › peer-review

24 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	88-89
Number of pages	2
Journal	ASAIO Journal
Volume	58
Issue number	1
DOIs	https://doi.org/10.1097/MAT.0b013e3182392d65
Publication status	Published - 2012 Jan

All Science Journal Classification (ASJC) codes

Biophysics
Bioengineering
Biomaterials
Biomedical Engineering

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AB - 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.

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Extracorporeal membrane oxygenation as a bridge to definite surgery in recurrent postinfarction ventricular septal defect

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