Veno-Arterial ECMO in the Setting of Post-Infarct Ventricular Septal Defect: A Bridge to Surgical Repair

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• 作者：Aden McLaughlin ; BBioM ; MBBS^a ; ^{aden.mclaughlin@hotmail.com" class="auth_mail" title="E-mail the corresponding author} ; David McGiffin ; MBBS ; FRACS^b ; James Winearls ; BSc ; MBBS ; MRCP ; FCICM^c ; Peter Tesar ; MBBS ; FRACS^d ; Christopher Cole ; MBBS ; FRACS^e ; Michael Vallely ; MBBS ; PhD ; FRACS^f ; Andrew Clarke ; MBBS ; FRACS^d ; John Fraser ; MBChB ; PhD ; MRCP ; FRCA ; FFARCSI ; FCICM^g
• 关键词：Post-infarct ventricular septal defect ; ECMO
• 刊名：Heart, Lung and Circulation
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：25
• 期：11
• 页码：1063-1066
• 全文大小：206 K

文摘

Extracorporeal membrane oxygenation (ECMO) is a complex rescue therapy utilised to provide circulatory and/or respiratory support to critically ill patients who have failed maximal conventional therapy. The use of ECMO in adult cardiac surgery is not routine, occurring in a minority of critically ill patients, typically postoperatively. Presented here are three cases of post-infarct ventricular septal defect with cardiogenic shock managed preoperatively with ECMO support as a bridge to definitive surgical closure. We present a review of ECMO in the adult cardiac surgical population and highlight the potential role of preoperative ECMO for cardiogenic shock in the setting of post-infarct ventricular septal defect (PI VSD) as a bridge to definitive closure.