Veno-Arterial ECMO in the Setting of Post-Infarct Ventricular Septal Defect

A Bridge to Surgical Repair

Aden McLaughlin, David McGiffin, James Winearls, Peter Tesar, Christopher Cole, Michael P Vallely, Andrew Clarke, John Fraser

Research output: Contribution to journalReview ArticleResearchpeer-review

6 Citations (Scopus)

Abstract

Extracorporeal membrane oxygenation (ECMO) is a complex rescue therapy utilised to provide circulatory and/or respiratory support to critically ill patients who have failed maximal conventional therapy. The use of ECMO in adult cardiac surgery is not routine, occurring in a minority of critically ill patients, typically postoperatively. Presented here are three cases of post-infarct ventricular septal defect with cardiogenic shock managed preoperatively with ECMO support as a bridge to definitive surgical closure. We present a review of ECMO in the adult cardiac surgical population and highlight the potential role of preoperative ECMO for cardiogenic shock in the setting of post-infarct ventricular septal defect (PI VSD) as a bridge to definitive closure.

Original languageEnglish
Pages (from-to)1063-1066
Number of pages4
JournalHeart Lung and Circulation
Volume25
Issue number11
DOIs
Publication statusPublished - 1 Nov 2016
Externally publishedYes

Keywords

  • ECMO
  • Post-infarct ventricular septal defect

Cite this

McLaughlin, Aden ; McGiffin, David ; Winearls, James ; Tesar, Peter ; Cole, Christopher ; Vallely, Michael P ; Clarke, Andrew ; Fraser, John. / Veno-Arterial ECMO in the Setting of Post-Infarct Ventricular Septal Defect : A Bridge to Surgical Repair. In: Heart Lung and Circulation. 2016 ; Vol. 25, No. 11. pp. 1063-1066.
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McLaughlin, A, McGiffin, D, Winearls, J, Tesar, P, Cole, C, Vallely, MP, Clarke, A & Fraser, J 2016, 'Veno-Arterial ECMO in the Setting of Post-Infarct Ventricular Septal Defect: A Bridge to Surgical Repair', Heart Lung and Circulation, vol. 25, no. 11, pp. 1063-1066. https://doi.org/10.1016/j.hlc.2016.02.024

Veno-Arterial ECMO in the Setting of Post-Infarct Ventricular Septal Defect : A Bridge to Surgical Repair. / McLaughlin, Aden; McGiffin, David; Winearls, James; Tesar, Peter; Cole, Christopher; Vallely, Michael P; Clarke, Andrew; Fraser, John.

In: Heart Lung and Circulation, Vol. 25, No. 11, 01.11.2016, p. 1063-1066.

Research output: Contribution to journalReview ArticleResearchpeer-review

TY - JOUR

T1 - Veno-Arterial ECMO in the Setting of Post-Infarct Ventricular Septal Defect

T2 - A Bridge to Surgical Repair

AU - McLaughlin, Aden

AU - McGiffin, David

AU - Winearls, James

AU - Tesar, Peter

AU - Cole, Christopher

AU - Vallely, Michael P

AU - Clarke, Andrew

AU - Fraser, John

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AB - Extracorporeal membrane oxygenation (ECMO) is a complex rescue therapy utilised to provide circulatory and/or respiratory support to critically ill patients who have failed maximal conventional therapy. The use of ECMO in adult cardiac surgery is not routine, occurring in a minority of critically ill patients, typically postoperatively. Presented here are three cases of post-infarct ventricular septal defect with cardiogenic shock managed preoperatively with ECMO support as a bridge to definitive surgical closure. We present a review of ECMO in the adult cardiac surgical population and highlight the potential role of preoperative ECMO for cardiogenic shock in the setting of post-infarct ventricular septal defect (PI VSD) as a bridge to definitive closure.

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