Author/Editor     Gregorič, Igor; Mesar, Tomaž; Kar, Biswajit; Nathan, Sriram; Radovančević, Rajko; Patel, Manish; Loyalka, Pranav
Title     Percutaneous ventricular assist device and extracorporeal membrane oxygenation support in a patient with postinfarction ventricular septal defect and free wall rupture
Type     članek
Vol. and No.     Letnik 16, št. 3
Publication year     2013
Volume     str. 153-154
ISSN     1098-3511 - The heart surgery forum
Language     eng
Abstract     We describe the case of a 54-year-old woman with a postinfarction ventricular septal defect (VSD) and ventricular free wall rupture who was stabilized with a percutaneous ventricular assist device (pVAD) to allow for myocardial infarct stabilization. Following the rupture of the right ventricular free wall and cardiopulmonary arrest on hospital day 10, pVAD support was promptly converted to extracorporeal membrane oxygenation (ECMO) support for stabilization. After surgical repair was completed, pVAD support was continued for 4 days to allow recovery. The patient was discharged on postoperative day 11 and is alive and well 4 years later. Postinfarction VSD with free wall rupture may be salvaged with pVAD and ECMO support.
Keywords     myocardial infarct
septal defect
pVAD support
miokardni infarkt
septalna napaka
pVAD podpora