Implantation of durable left ventricular assist device in patient with postmyocardial infarction ventricular septal defect
Jazyk angličtina Země Spojené státy americké Médium print-electronic
Typ dokumentu kazuistiky, časopisecké články
PubMed
34296475
DOI
10.1111/jocs.15839
Knihovny.cz E-zdroje
- Klíčová slova
- coronary artery disease, mechanical circulatory support, ventricular septal defect,
- MeSH
- defekty komorového septa * chirurgie MeSH
- infarkt myokardu * komplikace MeSH
- lidé MeSH
- mimotělní membránová oxygenace * MeSH
- podpůrné srdeční systémy * MeSH
- srdeční selhání * terapie MeSH
- výsledek terapie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
Ventricular septal defect (VSD) is a severe complication of myocardial infarction (MI) with a high mortality rate. We report a case of a large post-MI VSD treated with percutaneous venoarterial extracorporeal membrane oxygenation (VA-ECMO) to restore hemodynamic stability and to avoid surgery in the acute setting. VSD closure with endoventricular patch and implantation of biventricular assist device (BiVAD) was arranged sixteen days after MI. Because of no signs of myocardial recovery, implantation of durable left ventricular assist device (LVAD) as a bridge to transplant was provided, leaving right ventricular assist device (RVAD) to right ventricle recovery. RVAD was explanted 18 days after durable LVAD placement and the patient was discharged home two months after MI. The use of durable LVAD is a unique solution that can be applied in selected patients with MI-VSD and heart failure.
Department of Pathophysiology 2nd Faculty of Medicine Charles University Prague Czech Republic
Department of Physiology 3rd Faculty of Medicine Charles University Prague Czech Republic
Zobrazit více v PubMed
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