Urgent repair of postinfarct ventricular septal rupture with ECPELLA support: A case report

Autor:	Shuto Watanabe, Kazuyuki Daitoku, Masahito Minakawa, Norihiro Kondo, Ryosuke Kowatari
Rok vydání:	2021
Předmět:	Pulmonary and Respiratory Medicine medicine.medical_specialty business.industry medicine.medical_treatment Hemodynamics Percutaneous coronary intervention Oxygenation medicine.disease Extracorporeal Ventricular Septal Rupture Internal medicine medicine.artery Ascending aorta Cardiology Medicine Surgery cardiovascular diseases Myocardial infarction Cardiology and Cardiovascular Medicine business Impella
Zdroj:	Journal of Cardiac Surgery. 36:3933-3935
ISSN:	1540-8191 0886-0440
Popis:	A 74-year-old woman developed inferior myocardial infarction due to right coronary artery occlusion and underwent percutaneous coronary intervention. Two days later, echocardiography revealed ventricular septal rupture, and Impella CP was inserted to avoid emergency surgery. However, the patient's hemodynamics deteriorated rapidly, necessitating additional venoarterial extracorporeal membranous oxygenation support with concomitant Impella support (ECPELLA). The ventricular septal rupture was surgically repaired using the extended sandwich technique via a right ventricular approach; the ascending aorta was clamped with the clampable portion of the Impella. The patient was successfully weaned from the Impella 3 days postsurgery. This case suggests that urgent surgery with ECPELLA support could be a useful option for patients with ventricular septal rupture, even in severe cases wherein emergency surgery is unavoidable.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::a0642b791162d09496abc0c9bc451139 https://doi.org/10.1111/jocs.15834 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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