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Management of left ventricular free wall rupture under extracorporeal membrane oxygenation support.

Abstract
This is a case report of a patient with left ventricular free wall rupture after acute myocardial infarction that was managed successfully with the use of an extracorporeal membrane oxygenation circuit for resuscitation, surgical repair and postoperative circulatory support. Conversion to conventional cardiopulmonary bypass for surgical repair was avoided. Decompression of the left ventricle during the postoperative period promotes myocardial recovery and leads to improved fixation of surgical repair.
AuthorsKyriakos Anastasiadis, Polychronis Antonitsis, Stavros Hadjimiltiades, Georgios Karapanagiotidis, Christophoros Foroulis, Helena Argiriadou, Christos Papakonstantinou
JournalThe International journal of artificial organs (Int J Artif Organs) Vol. 32 Issue 10 Pg. 756-8 (Oct 2009) ISSN: 0391-3988 [Print] United States
PMID19943238 (Publication Type: Case Reports, Journal Article)
Topics
  • Cardiac Surgical Procedures
  • Critical Care
  • Extracorporeal Membrane Oxygenation
  • Heart Rupture, Post-Infarction (physiopathology, surgery)
  • Heart Ventricles (injuries, surgery)
  • Hemodynamics
  • Humans
  • Male
  • Middle Aged
  • Recovery of Function
  • Treatment Outcome
  • Ventricular Function, Left

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