Ram Eilon, Kogan Alexander, Orlov Boris, Raanani Ehud, Sternik Leonid
1 Department of Cardiac Surgery, Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Innovations (Phila). 2019 Feb;14(1):75-79. doi: 10.1177/1556984518823633. Epub 2019 Feb 11.
The mortality rate after the development of ventricular septal defect (VSD) remains high despite progress in pharmaceutical therapy, invasive cardiology, and surgical techniques. Although early surgical repair of postinfarction VSD is associated with a high mortality rate, in hemodynamic unstable patients surgery cannot always be postponed and surgical repair may be required urgently. We present two cases of patients diagnosed with postinfarction VSD who were in cardiogenic shock with multiorgan failure despite optimal treatment. They were therefore connected to venoarterial extracorporeal membrane oxygenation as a bridge to reparative surgery.
尽管在药物治疗、介入心脏病学和手术技术方面取得了进展，但室间隔缺损（VSD）发生后的死亡率仍然很高。虽然心肌梗死后室间隔缺损的早期手术修复与高死亡率相关，但对于血流动力学不稳定的患者，手术并不总是能够推迟，可能需要紧急进行手术修复。我们报告了两例诊断为心肌梗死后室间隔缺损的患者，尽管进行了最佳治疗，但仍处于心源性休克并伴有多器官功能衰竭。因此，他们被连接到静脉-动脉体外膜肺氧合作为修复手术的桥梁。
