Kommineni Maya, Lang Roberto M, Russo Mark J, Shah Atman P
Cardiovasc Revasc Med. 2013 Jul-Aug;14(4):241-5. doi: 10.1016/j.carrev.2013.06.003.
Infarct associated ventricular septal defects (VSDs) are associated with considerable morbidity and mortality and are typically treated via an open surgical approach with the assistance of full mechanical bypass support in the setting of cardiogenic shock. We present two patients with infarct related VSDs and cardiogenic shock (CS) following acute ST segment elevation myocardial infarction (STEMI) and a review of the literature. Each patient successfully underwent percutaneous transcatheter closure of infarct related VSDs and initiation of extracorporeal membrane oxygenation (ECMO) via a portable miniaturized system that resulted in improvement in the patients' hemodynamics.
梗死相关室间隔缺损（VSD）与相当高的发病率和死亡率相关，通常在心源性休克情况下，借助完全机械旁路支持，通过开放手术方法进行治疗。我们报告了两名急性ST段抬高型心肌梗死（STEMI）后发生梗死相关VSD和心源性休克（CS）的患者，并对文献进行了综述。每名患者均通过便携式小型系统成功接受了梗死相关VSD的经皮导管封堵术并启动了体外膜肺氧合（ECMO），这使患者的血流动力学得到改善。
