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  • Title: Use of initial biventricular mechanical support in a case of postinfarction ventricular septal rupture as a bridge to surgery.
    Author: Conradi L, Treede H, Brickwedel J, Reichenspurner H.
    Journal: Ann Thorac Surg; 2009 May; 87(5):e37-9. PubMed ID: 19379852.
    Abstract:
    The incidence of postinfarction ventricular septal rupture is declining as coronary revascularization techniques have become available for a large number of patients. However, morbidity and mortality rates associated with this complication remain high. We report the case of a patient suffering from acute myocardial infarction who developed a postinfarction ventricular septal defect. Instead of attempting surgical closure, he was placed on biventricular mechanical support. After 2 weeks, surgical closure of the defect and concomitant explantation of the assist device were successfully performed. This approach may represent a new treatment option restoring hemodynamic stability and avoiding surgery on freshly infarcted myocardium.
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