SciELO - Scientific Electronic Library Online

 
vol.25 issue6Pharmacogenomic application of the CYP2C19, CYP2C9 and VKORC1 genes implicated in the metabolism of clopidogrel and warfarinSuccessful surgical correction of a rupture of a Sakakibara type IV Valsalva sinus aneurysm and closure of the perimembranous ventricular septal defect author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Revista Colombiana de Cardiología

Print version ISSN 0120-5633

Abstract

FLORES-UMANZOR, Eduardo Josué et al. Central extracorporeal membrane oxygenation as a bridge to decision in a patient with a ventricular septal rupture complicating a myocardial infarction. Rev. Colomb. Cardiol. [online]. 2018, vol.25, n.6, pp.405-405. ISSN 0120-5633.  https://doi.org/10.1016/j.rccar.2017.12.022.

In the era of primary percutaneous coronary intervention, mechanical complications after acute myocardial infarction are extremely rare, with an incidence of less than 0.5%. Rupture of the ventricular septum is the least frequent occurrence. Despite early surgical repair, mortality still remains high. Patients who are at high risk of perioperative death include those with cardiogenic shock and multiorgan dysfunction. In this group, a mechanical circulatory support such as an Extracorporeal Membrane Oxygenation circuit could be used as bridge to surgical repair is feasible or heart transplantation, as it provides hemodynamic stability and the potential to correct multiorgan dysfunction. We reported a case pf ECMO device implantation as a bridge to heart transplantation in a patient with post infarction ventricular septal rupture. Unfortunately, while on the waiting list for heart transplantation with maximum priority the patient had massive diffuse alveolar hemorrhage secondary to the anticoagulation required by the equipment and died.

Keywords : Ventricular septal rupture; Extracorporeal membrane oxygenation circuit; Acute myocardial infarction.

        · abstract in Spanish     · text in English     · English ( pdf )