Delayed Repair of Ventricular Septal Rupture Following Preoperative Awake Extracorporeal Membrane Oxygenation Support.
10.5090/kjtcs.2017.50.3.211
- Author:
Bong Suk PARK
1
;
Weon Yong LEE
;
Jung Hyeon LIM
;
Yong Joon RA
;
Yong Han KIM
;
Hyoung Soo KIM
Author Information
1. Department of Cardiothoracic Surgery, Hanllym University Sacred Heart Hospital, Hanllym University College of Medicine, Korea. lwy1206@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Ventricular septal rupture;
Extracorporeal membrane oxygenation;
Awake extracorporeal membrane oxygenation;
Myocardial infarction
- MeSH:
Extracorporeal Membrane Oxygenation*;
Hemodynamics;
Hospital Mortality;
Humans;
Hypnotics and Sedatives;
Mortality;
Myocardial Infarction;
Respiration, Artificial;
Ventricular Septal Rupture*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2017;50(3):211-214
- CountryRepublic of Korea
- Language:English
-
Abstract:
Outcomes of ventricular septal rupture (VSR) as a complication of acute myocardial infarction are extremely poor, with an in-hospital mortality rate of 45% in surgically treated patients and 90% in patients managed with medication. Delaying surgery for VSR is a strategy for reducing mortality. However, hemodynamic instability is the main problem with this strategy. In the present case, venoarterial extracorporeal membrane oxygenation (ECMO) was used to provide stable hemodynamic support before the delayed surgery. Awake ECMO was also used to avoiding the complications of sedatives and mechanical ventilation. Here, we describe a successful operation using awake ECMO as a bridge to surgery.
