Related Experiment Video

Updated: Mar 1, 2026

Author Spotlight: Enhancing Coronary Artery Revascularization
05:25

Author Spotlight: Enhancing Coronary Artery Revascularization

Published on: September 15, 2023

1.4K

ECMO and cytokine removal for bridging to surgery in a patient with ischemic ventricular septal defect - a case

Stefanie Marek1,2, Gunnar Gamper1,2, Georg Reining1,2

  • 1Karl Landsteiner Society - Institute for Research in Ischemic Heart Disease and Arrhythmias, St. Pölten - Austria.

The International Journal of Artificial Organs
|June 3, 2017
PubMed

Insights

Postinfarction ventricular septal defect (VSD) is a lethal complication. Veno-arterial extracorporeal membrane oxygenation with blood purification bridged a patient to surgical VSD closure, managing cardiogenic shock.

Area of Science:

  • Cardiology
  • Intensive Care Medicine
  • Cardiovascular Surgery

Background:

  • Postinfarction ventricular septal defect (VSD) is a rare but severe complication of myocardial infarction.
  • Optimal management strategies, including timing of surgical repair and use of mechanical circulatory support, are debated.
  • An interdisciplinary approach is crucial for managing these high-risk patients.

Observation:

  • A patient presented with cardiogenic shock secondary to an ischemic VSD after a posterior myocardial infarction.
  • The patient was treated with veno-arterial extracorporeal membrane oxygenation (VA-ECMO) and extracorporeal blood purification therapy (CytoSorb®).

Findings:

  • This combined therapy served as a successful bridge to definitive surgical closure of the VSD.
  • The patient's cardiogenic shock was effectively managed during the bridging period.

Implications:

  • This case highlights the potential utility of VA-ECMO combined with blood purification as a temporizing measure in ischemic VSD.
  • Such an approach may improve outcomes by stabilizing patients for subsequent surgical intervention.
  • Further research is warranted to establish the role of this strategy in managing postinfarction VSD.

More Related Videos

Isolation and Functional Characterization of Human Ventricular Cardiomyocytes from Fresh Surgical Samples14:39

Isolation and Functional Characterization of Human Ventricular Cardiomyocytes from Fresh Surgical Samples

Published on: April 21, 2014

18.0K
Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels08:12

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

Published on: May 26, 2023

2.6K

Related Concept Videos

Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
551
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
376