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Veno-arterial extracorporeal membrane oxygenation for post-infarction ventricular septal defect in a low-volume

Miha Antonic¹, Anze Djordjevic¹, Tomaz Podlesnikar¹

¹Department of Cardiac Surgery, University Medical Centre Maribor, Ljubljanska ulica 5, 2000 Maribor, Slovenia.

The Journal of Extra-Corporeal Technology

|September 8, 2023

Abstract:

Managing patients with post-ischaemic ventricular septal defects (VSD) and postcardiotomy cardiogenic shock can be extremely challenging in a low-volume cardiac surgery unit. We present a case of a 68-year-old patient who received veno-arterial extracorporeal membrane oxygenation support due to cardiogenic shock after VSD repair. The patient was successfully weaned off support after 86 h. In the postoperative period, mediastinitis occurred, and negative pressure wound therapy was instituted.

Keywords:

Cardiogenic shock ECMO Extracorporeal membrane oxygenation Mediastinitis Ventricular septal defect

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