Preoperative Extracorporeal Membrane Oxygenation for Postinfarction Ventricular Septal Defect.
The mortality rate after the development of ventricular septal defect (VSD) remains high despite progress in pharmaceutical therapy, invasive cardiology, and surgical techniques. Although early surgical repair of postinfarction VSD is associated with a high mortality rate, in hemodynamic unstable patients surgery cannot always be postponed and surgical repair may be required urgently. We present two cases of patients diagnosed with postinfarction VSD who were in cardiogenic shock with multiorgan failure despite optimal treatment. They were therefore connected to venoarterial extracorporeal membrane oxygenation as a bridge to reparative surgery.
['Ram|Eilon|E|', 'Kogan|Alexander|A|', 'Orlov|Boris|B|', 'Raanani|Ehud|E|', 'Sternik|Leonid|L|']
D000368:Aged D004452:Echocardiography D015199:Extracorporeal Membrane Oxygenation D006345:Heart Septal Defects, Ventricular D006801:Humans D008297:Male D008875:Middle Aged D009203:Myocardial Infarction D011300:Preoperative Care D012770:Shock, Cardiogenic D016896:Treatment Outcome
ventricular septal defect cardiogenic shock venoarterial extracorporeal membrane oxygenation myocardial infarction