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Improving hemodynamics - Prolonged intra-aortic balloon pump usage in posterior ventricular septal rupture with right
Karthik Raman1, Thapo T Desugari1, S Sowmya1
1Madras Medical Mission, Institute of Cardiovascular Disease, Chennai, Tamil Nadu, India.
Abstract:
The associated mortality and morbidity of posterior ventricular septal rupture (VSR) is quite high increasing to almost 80% due to severe right ventricle dysfunction and pulmonary artery hypertension. Herein, we present a case of posterior VSR due to inferior wall myocardial infarction who underwent surgery. Premature removal of intra-aortic balloon pump (IABP) led to hemodynamic deterioration and he was salvaged with prolonged and prompt re-institution of IABP. This case also highlights the importance of IABP in right ventricle failure.
