Ventricular septal perforation followed by papillary muscle rupture with acute myocardial infarction: efficacy of venoarterial extracorporeal membrane oxygenation.
Ryohei UshiodaAtsuko FujiiMakoto ShirakawaTomonori ShirasakaHiroyuki KamiyaHiroyuki KamiyaTaro KanamoriPublished in: Journal of surgical case reports (2020)
The occurrence of multiple mechanical complications after myocardial infarction in the same patient may be extremely rare, and the surgical strategy may be very complex because each mechanical complication can be extremely fatal. The case of a patient who underwent repair of a ventricular septal perforation by venoarterial extracorporeal membrane oxygenation (VA-ECMO), then mitral valve replacement and VA-ECMO for papillary muscle rupture 2 weeks after the ventricular septal perforation repair, is reported. Immediate preoperative stabilization with VA-ECMO may play a crucial role in treating multiple mechanical complications after myocardial infarction.
Keyphrases
- extracorporeal membrane oxygenation
- left ventricular
- hypertrophic cardiomyopathy
- mitral valve
- acute respiratory distress syndrome
- acute myocardial infarction
- heart failure
- respiratory failure
- case report
- catheter ablation
- skeletal muscle
- left atrial
- risk factors
- risk assessment
- patients undergoing
- mechanical ventilation
- clear cell
- percutaneous coronary intervention
- acute coronary syndrome
- coronary artery disease
- gestational age
- preterm birth