Int J Cardiol. 2010 Oct 8;144(2):313-5. doi: 10.1016/j.ijcard.2009.03.042. Epub 2009 Apr 5.
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.
室间隔缺损 (VSD) 可作为更严重的先天性心脏畸形的一部分出现，也可作为孤立性发现。VSD 也可能是急性心肌梗死的严重并发症。如果可以将手术推迟 3-4 周，似乎其预后会有所改善。VSD 的治疗正在发生变化，为了降低死亡率，应推迟手术关闭。使用 Impella Recover 左心室辅助设备可以延迟手术，稳定患者的血液动力学状况。我们描述了一例使用 Impella Recover 治疗的心肌梗死后 VSD 病例，这例患者的手术推迟了 2 周。我们的结果证实了 VSD 生存率的提高，这取决于 Impella Recover 的使用，它可以维持血液动力学的稳定并延迟手术。
