The use of Impella Recover in the treatment of post-infarction ventricular septal defect: a new case report

Ventricular septal defect (VSD) can occur as part of more congenital cardiac malformations or as an isolated finding. VSD can be also a serious complication of acute myocardial infarction. It seems that its prognosis improves if the operation can be deferred for 3-4 weeks. The treatment of VSD is ch...

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Bibliographic Details
Published in:International journal of cardiology 2010, Vol.144 (2), p.313-315
Main Authors: Patanè, Francesco, Grassi, Rosario, Zucchetti, Maria Chiara, Ceresa, Fabrizio, Amata, Angelo Davide, Zingarelli, Edoardo, Sansone, Fabrizio, Marte, Filippo, Patanè, Salvatore
Format: Report
Language:English
Online Access:Get full text
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Summary:Ventricular septal defect (VSD) can occur as part of more congenital cardiac malformations or as an isolated finding. VSD can be also a serious complication of acute myocardial infarction. It seems that its prognosis improves if the operation can be deferred for 3-4 weeks. The treatment of VSD is changing and the surgical closure should be postponed in order to reduce the mortality risk. The use of Impella Recover left ventricular assistance device allowed to delay the surgery, stabilizing the patient's hemodynamic condition. We describe a case of post-infarction VSD treated with the implantation of Impella Recover, which permitted to postpone a surgical closure for 2 weeks. Our results confirm the improvement of VSD's survival, depending on the use of Impella Recover, which allows to maintain the hemodynamic stability and to delay the operation.
ISSN:1874-1754
DOI:10.1016/j.ijcard.2009.03.042