Venoarterial Extracorporeal Membrane Oxygenation as A Bridge to Surgery in Post-Myocardial Infarction Ventricular Septal Defect with Cardiogenic Shock: Case Report

Besa, Santiago; Walbaum, Jonathan; González, Rodrigo; Baraona, Fernando; Garrido-Olivares, Luis

doi:10.21470/1678-9741-2021-0151

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Brazilian Journal of Cardiovascular Surgery

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Sumário

CASE REPORT • Braz J Cardiovasc Surg 38 (01) • 2023 • https://doi.org/10.21470/1678-9741-2021-0151 copy

Venoarterial Extracorporeal Membrane Oxygenation as A Bridge to Surgery in Post-Myocardial Infarction Ventricular Septal Defect with Cardiogenic Shock: Case Report

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

We describe a 60-year-old woman with post-myocardial infarction (MI) ventricular septal defect (VSD) and cardiogenic shock who was successfully stabilized with veno-arterial extracorporeal membrane oxygenation (VA-ECMO) as a bridge therapy for the surgical closure of her VSD. This case highlights the role of VA-ECMO in the management of post-MI VSD to improve the results of surgical repair and patient survival.

Keywords:
Extracorporeal Membrane Oxygenation; Ventricular Heart Septal Defects; Shock; Cardiogenic; Myocardial Infarctation; Hospital Mortality

Abbreviations, acronyms & symbols
ADA	= Anterior descending artery
ECG	= Electrocardiogram
ER	= Emergency room
LVEF	= Left ventricular ejection fraction
LV	= Left ventricle
MI	= Myocardial infarction
RCA	= Right coronary artery
RV	= Right ventricle
TCC	= Transcatheter closure
VADs	= Ventricular assist devices
VA-ECMO	= Venoarterial extracorporeal membrane oxygenation
VSD	= Ventricular septal defect

Authors' roles & responsibilities
SBB	Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; drafting the work or revising it critically for important intellectual content; agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved; final approval of the version to be published
JW	Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; drafting the work or revising it critically for important intellectual content; agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved; final approval of the version to be published
RG	Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; drafting the work or revising it critically for important intellectual content; agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved; final approval of the version to be published
FB	Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; drafting the work or revising it critically for important intellectual content; agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved; final approval of the version to be published
LGO	Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; drafting the work or revising it critically for important intellectual content; agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved; final approval of the version to be published

Sociedade Brasileira de Cirurgia Cardiovascular Rua Afonso Celso, 1178 Vila Mariana, CEP: 04119-061 - São Paulo/SP Brazil, Tel +55 (11) 3849-0341, Tel +55 (11) 5096-0079 - São Paulo - SP - Brazil
E-mail: bjcvs@sbccv.org.br

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[1] This study was carried out at the Cardiovascular Surgery, Division of Surgery, Pontificia Universidad Católica, Santiago, Chile.