Cardiogenic Shock in Patient with Posterior Postinfarction Septal Rupture-Successful Treatment with Extracorporeal Membrane Oxygenation (ECMO) as a Ventricular Assist Device
Abstract
We present the case of a 62-year-old female patient with cardiogenic shock due to large inferior myocardial infarct. Echocardiography revealed dysfunction of left ventricle, dilation of right ventricle, mitral valve insufficiency, and a large posterior ventricular septal defect (VSD).
Despite inotropes and intraaortic balloon pump (IABP) there was severe hemodynamic instability. We commenced veno-arterial extracorporeal membrane oxygenation (ECMO) as a ventricular assist device (VAD).
After stabilization of the patient and improvement of the clinical conditions, third day after implantation, the closure of the defect, mitral valve plasty, and bypass to posterior descending artery were performed. The patient was discharged from the hospital 59 days after the operation in good condition.