Delayed Repair of Ventricular Septal Rupture Following Preoperative Awake Extracorporeal Membrane Oxygenation Support

다국어 초록 (Multilingual 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.

참고문헌 (Reference)

1 Labrousse L, "Surgery for post infarction ventricular septal defect(VSD) : risk factors for hospital death and long term results" 21 : 725-731, 2002

2 Crenshaw BS, "Risk factors, angiographic patterns, and outcomes in patients with ventricular septal defect complicating acute myocardial infarction. GUSTO-I (Global Utilization of Streptokinase and TPA for Occluded Coronary Arteries) Trial Investigators" 101 : 27-32, 2000

3 Deja MA, "Post infarction ventricular septal defect: can we do better?" 18 : 194-201, 2000

4 Abrams D, "Early mobilization of patients receiving extracorporeal membrane oxygenation:a retrospective cohort study" 18 : R38-, 2014

5 Schmidt F, "Concept of"awake venovenous extracorporeal membrane oxygenation"in pediatric patients awaiting lung transplantation" 17 : 224-230, 2013

6 Alozie A, "Awake extracorporeal membrane oxygenation (ECMO) as bridge to recovery after left main coronary artery occlusion: a promising concept of haemodynamic support in cardiogenic shock" 23 : e217-e221, 2014