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Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
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CARDIOGENIC SHOCK DUE TO VENTRICULAR SEPTAL DEFECT (VSD) AFTER MYOCARDIAL INFARCTION

José Diogo Albuquerque1, Alexandre Caldeira1, Marta Coelho1

  • 1Centro Hospitalar Universitário de Lisboa Norte, Serviço de Anestesiologia, Portugal.

Portuguese Journal of Cardiac Thoracic and Vascular Surgery
|March 18, 2022
PubMed

Insights

A 62-year-old man recovered after percutaneous ventricular septal defect (VSD) correction post-myocardial infarction. The procedure led to tricuspid regurgitation, requiring further intervention before stable discharge.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Myocardial infarction can lead to serious complications such as ventricular septal defects (VSDs).
  • Cardiogenic shock following myocardial infarction necessitates urgent intervention.
  • Percutaneous VSD closure is a viable treatment option in select cases.

Observation:

  • A 62-year-old male presented with cardiogenic shock post-myocardial infarction, complicated by a VSD.
  • Intra-aortic balloon pump insertion preceded percutaneous VSD correction.
  • The VSD closure resulted in iatrogenic tricuspid regurgitation.

Findings:

  • Successful percutaneous closure of the VSD was achieved.
  • Iatrogenic tricuspid regurgitation was managed with tricuspid valvuloplasty.
  • Coronary artery bypass grafting (CABG) was performed for underlying stenosis.

Implications:

  • This case highlights the potential complications of percutaneous VSD closure, including tricuspid regurgitation.
  • Multidisciplinary management involving interventional cardiology and cardiac surgery is crucial for complex post-MI cases.
  • Successful management led to patient stabilization and discharge after 26 days.

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