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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2020; 09(01): e44-e46
DOI: 10.1055/s-0040-1714074
Case Report: Cardiac

Extracorporeal Life Support as a Bridge to Surgery of Acute Ventricular Septal Defect

Aysun Tulun
1   Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
,
Bernd Panholzer
1   Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
,
Joachim Cremer
1   Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
,
Assad Haneya
1   Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
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Abstract

Background Postinfarction ventricular septal defect (VSD) is a rare but life-threatening complication of acute myocardial infarction (AMI). Surgery represents the treatment of choice. But the optimal timing for surgery is still under debate.

Case Description Here, we present the case of a 70-year-old female patient with an anterior postinfarction VSD leading to cardiogenic shock for whom we used a percutaneous implantation of an extracorporeal life support (ECLS) as a bridge to surgery. After 10 days of ECLS therapy, surgical VSD repair was successfully performed.

Conclusion The strategy of delayed surgery may be a reasonable solution in selected patients with VSD complicating AMI.

Keywords

myocardial infarction - extracorporeal life support oxygenation - ECLS


Publication History

Received: 15 December 2019

Accepted: 06 April 2020

Article published online:
18 September 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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Stuttgart · New York

 

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